Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-09T07:23:28.443Z Has data issue: false hasContentIssue false

Chapter 22 - Chest Pain

from Subpart IVA - Clinical – Cardiac

Published online by Cambridge University Press:  31 March 2017

Sharon E. Mace
Affiliation:
Department of Emergency Medicine, Cleveland Clinic, Ohio
Get access

Summary

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Chapter
Information
Observation Medicine
Principles and Protocols
, pp. 98 - 106
Publisher: Cambridge University Press
Print publication year: 2017

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bhuiya, FA, Pitts, SR, McCaig, LF. Emergency department visits for chest pain and abdominal pain: United States, 1999–2008. NCHS Data Brief. 2010 Sep;(43):1–8.Google Scholar
Nawar, EW, Niska, RW, Xu, J. National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary. Adv Data. 2007 Jun 29;(386):1–32.Google Scholar
Eslick, GD. Usefulness of chest pain character and location as diagnostic indicators of an acute coronary syndrome. Am J Cardiol. 2005 May 15;95 (10):12281231.CrossRefGoogle ScholarPubMed
Anderson, JL, Adams, CD, Antman, EM, et al. ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction) Developed in Collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine. J Am Coll Cardiol. 2007 Aug 14;50 (7):e1–157.CrossRefGoogle Scholar
Lee, TH, Rouan, GW, Weisberg, MC, et al. Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency room. Am J Cardiol. 1987 Aug 1;60 (4):219224.CrossRefGoogle ScholarPubMed
Body, R, Carley, S, Wibberley, C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010 Mar;81 (3):281286.CrossRefGoogle ScholarPubMed
Wright, RS, Anderson, JL, Adams, CD, et al. 2011 ACCF/AHA focused update incorporated into the ACC/AHA 2007 Guidelines for the Management of Patients with Unstable Angina/Non-ST-Elevation Myocardial Infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines developed in collaboration with the American Academy of Family Physicians, Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons. J Am Coll Cardiol. 2011 May 10;57 (19):e215–367.Google Scholar
Graff, LG, Dallara, J, Ross, MA, et al. Impact on the care of the emergency department chest pain patient from the chest pain evaluation registry (CHEPER) study. Am J Cardiol. 1997 Sep 1;80 (5):563568.CrossRefGoogle ScholarPubMed
Roberts, RR, Zalenski, RJ, Mensah, EK, et al. Costs of an emergency department-based accelerated diagnostic protocol vs hospitalization in patients with chest pain: a randomized controlled trial. JAMA. 1997 Nov 26;278 (20):16701676.CrossRefGoogle ScholarPubMed
Goodacre, S, Dixon, S. Is a chest pain observation unit likely to be cost effective at my hospital? Extrapolation of data from a randomised controlled trial. Emerg Med J. 2005 Jun;22 (6):418422.CrossRefGoogle ScholarPubMed
Goodacre, S, Nicholl, J, Dixon, S, et al. Randomised controlled trial and economic evaluation of a chest pain observation unit compared with routine care. BMJ. 2004 Jan 31;328 (7434):254.CrossRefGoogle ScholarPubMed
Miller, CD, Hwang, W, Hoekstra, JW, et al. Stress cardiac magnetic resonance imaging with observation unit care reduces cost for patients with emergent chest pain: a randomized trial. Ann Emerg Med. 2010 Sep;56 (3):209219 e2.CrossRefGoogle ScholarPubMed
Jagminas, L, Partridge, R. A comparison of emergency department versus inhospital chest pain observation units. Am J Emerg Med. 2005 Mar;23 (2):111113.CrossRefGoogle ScholarPubMed
Gomez, MA, Anderson, JL, Karagounis, LA, et al. An emergency department-based protocol for rapidly ruling out myocardial ischemia reduces hospital time and expense: results of a randomized study (ROMIO). J Am Coll Cardiol. 1996 Jul;28 (1):2533.CrossRefGoogle ScholarPubMed
Gaspoz, JM, Lee, TH, Weinstein, MC, et al. Cost-effectiveness of a new short-stay unit to “rule out” acute myocardial infarction in low risk patients. J Am Coll Cardiol. 1994 Nov 1;24 (5):12491259.CrossRefGoogle ScholarPubMed
Farkouh, ME, Smars, PA, Reeder, GS, et al. A Clinical Trial of a Chest-Pain Observation Unit for Patients with Unstable Angina. New England Journal of Medicine. 1998;339 (26):18821888.CrossRefGoogle ScholarPubMed
Cullen, MW, Reeder, GS, Farkouh, ME, et al. Outcomes in patients with chest pain evaluated in a chest pain unit: the chest pain evaluation in the emergency room study cohort. Am Heart J. 2011 May;161 (5):871877.CrossRefGoogle Scholar
de Araújo Gonçalves, P, Ferreira, J, Aguiar, C, et al. TIMI, PURSUIT, and GRACE risk scores: sustained prognostic value and interaction with revascularization in NSTE-ACS. European Heart Journal. 2005 May;26 (9):865872.CrossRefGoogle ScholarPubMed
Lee, B, Chang, AM, Matsuura, AC, et al. Comparison of cardiac risk scores in ED patients with potential acute coronary syndrome. Crit Pathw Cardiol. 2011 Jun;10 (2):6468.CrossRefGoogle ScholarPubMed
Venkatesh, AK, Geisler, BP, Gibson Chambers, JJ, et al. Use of observation care in US emergency departments, 2001 to 2008. PLoS One. 2011;6 (9):e24326.CrossRefGoogle ScholarPubMed
Grossman, SA, Shapiro, NI, Mottley, JL, et al. Is telemetry useful in evaluating chest pain patients in an observation unit? Intern Emerg Med. 2011 Dec;6 (6):543546.CrossRefGoogle Scholar
Nable, JV, Brady, W. The evolution of electrocardiographic changes in ST-segment elevation myocardial infarction. Am J Emerg Med. 2009 Jul;27 (6):734746.CrossRefGoogle ScholarPubMed
Pope, JH, Aufderheide, TP, Ruthazer, R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000 Apr 20;342 (16):11631170.CrossRefGoogle ScholarPubMed
Fesmire, FM, Percy, RF, Bardoner, JB, et al. Usefulness of automated serial 12-lead ECG monitoring during the initial emergency department evaluation of patients with chest pain. Ann Emerg Med. 1998 Jan;31 (1):311.CrossRefGoogle ScholarPubMed
Meune, C, Balmelli, C, Twerenbold, R, et al. Patients with acute coronary syndrome and normal high-sensitivity troponin. Am J Med. 2011 Dec;124 (12):11511157.CrossRefGoogle ScholarPubMed
Fesmire, FM, Decker, WW, Diercks, DB, et al. Clinical policy: critical issues in the evaluation and management of adult patients with non-ST-segment elevation acute coronary syndromes. Ann Emerg Med. 2006 Sep;48 (3):270301.CrossRefGoogle ScholarPubMed
Wu, AH, Apple, FS, Gibler, WB, et al. National Academy of Clinical Biochemistry Standards of Laboratory Practice: recommendations for the use of cardiac markers in coronary artery diseases. Clin Chem. 1999 Jul;45 (7):11041121.CrossRefGoogle ScholarPubMed
Pellikka, PA, Nagueh, SF, Elhendy, AA, et al. American Society of Echocardiography recommendations for performance, interpretation, and application of stress echocardiography. J Am Soc Echocardiogr. 2007 Sep;20 (9):10211041.CrossRefGoogle ScholarPubMed
Bluemke, DA, Achenbach, S, Budoff, M, et al. Noninvasive coronary artery imaging: magnetic resonance angiography and multidetector computed tomography angiography: a scientific statement from the american heart association committee on cardiovascular imaging and intervention of the council on cardiovascular radiology and intervention, and the councils on clinical cardiology and cardiovascular disease in the young. Circulation. 2008 Jul 29;118 (5):586606.CrossRefGoogle ScholarPubMed
Garber, AM, Solomon, NA. Cost-effectiveness of alternative test strategies for the diagnosis of coronary artery disease. Ann Intern Med. 1999 May 4;130 (9):719728.CrossRefGoogle ScholarPubMed
Kim, C, Kwok, YS, Heagerty, P, et al. Pharmacologic stress testing for coronary disease diagnosis: A meta-analysis. Am Heart J. 2001 Dec;142 (6):934944.CrossRefGoogle ScholarPubMed
Gianrossi, R, Detrano, R, Mulvihill, D, et al. Exercise-induced ST depression in the diagnosis of coronary artery disease. A meta-analysis. Circulation. 1989 Jul;80 (1):8798.CrossRefGoogle ScholarPubMed
Amini, B, Patel, CB, Lewin, MR, et al. Diagnostic nuclear medicine in the ED. Am J Emerg Med. 2011 Jan;29 (1):91101.CrossRefGoogle ScholarPubMed
Rahman, F, Mitra, B, Cameron, PA, et al. Stress testing before discharge is not required for patients with low and intermediate risk of acute coronary syndrome after emergency department short stay assessment. Emerg Med Australas. 2010 Oct;22 (5):449456.CrossRefGoogle Scholar
Kerns, JR, Shaub, TF, Fontanarosa, PB. Emergency cardiac stress testing in the evaluation of emergency department patients with atypical chest pain. Ann Emerg Med. 1993 May;22 (5):794798.CrossRefGoogle ScholarPubMed
Curzen, N, Patel, D, Clarke, D, et al. Women with chest pain: is exercise testing worthwhile? Heart. 1996 Aug;76 (2):156160.CrossRefGoogle ScholarPubMed
Hoffmann, U, Bamberg, F, Chae, CU, et al. Coronary computed tomography angiography for early triage of patients with acute chest pain: the ROMICAT (Rule Out Myocardial Infarction using Computer Assisted Tomography) trial. J Am Coll Cardiol. 2009 May 5;53 (18):16421650.CrossRefGoogle ScholarPubMed
Nagel, E, Lehmkuhl, HB, Bocksch, W, et al. Noninvasive diagnosis of ischemia-induced wall motion abnormalities with the use of high-dose dobutamine stress MRI: comparison with dobutamine stress echocardiography. Circulation. 1999 Feb 16;99 (6):763770.CrossRefGoogle ScholarPubMed
Hamon, M, Fau, G, Nee, G, et al. Meta-analysis of the diagnostic performance of stress perfusion cardiovascular magnetic resonance for detection of coronary artery disease. J Cardiovasc Magn Reson. 2010;12 (1):29.CrossRefGoogle ScholarPubMed
Cabello, JB, Burls, A, Emparanza, JI, et al. Oxygen therapy for acute myocardial infarction. Cochrane Database Syst Rev. 2010;(6):CD007160.CrossRefGoogle Scholar
Yusuf, S, Collins, R, MacMahon, S, et al. Effect of intravenous nitrates on mortality in acute myocardial infarction: an overview of the randomised trials. Lancet. 1988 May 14;1 (8594):1088–92.Google ScholarPubMed
Meine, TJ, Roe, MT, Chen, AY, et al. Association of intravenous morphine use and outcomes in acute coronary syndromes: results from the CRUSADE Quality Improvement Initiative. Am Heart J. 2005 Jun;149 (6):10431049.CrossRefGoogle ScholarPubMed
Than, M, Cullen, L, Reid, CM, et al. A 2-h diagnostic protocol to assess patients with chest pain symptoms in the Asia-Pacific region (ASPECT): a prospective observational validation study. Lancet. 2011 Mar 26;377 (9771):10771084.CrossRefGoogle Scholar
Ross, MA, Amsterdam, E, Peacock, WF, et al. Chest pain center accreditation is associated with better performance of centers for Medicare and Medicaid services core measures for acute myocardial infarction. Am J Cardiol. 2008 Jul 15;102 (2):120124.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×