2: Early Objective Identification of Chest Pain Patients at Very Low Risk of 30-Day Adverse Outcomes

Peacock, W. Frank; Hoekstra, James W.; Krucoff, Mitchell W.; Diercks, Deborah B.; Fermann, Gregory J.; Clark, C.; Grines, Cindy L.; Jois-Bilowich, P.

doi:10.1016/j.annemergmed.2009.06.022

Cited by 1 publication

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“…When the 30 day outcomes of this low risk patient group were evaluated, there were 0.4% deaths, 0.8% AMI, and 2.4% re-hospitalized. 28 This suggests that, combined with initial laboratory findings, the 80-lead ECG may identify a population of early ED discharge candidates.…”

Section: Case Reportmentioning

confidence: 99%

“…In a secondary analysis of the OCCULT trial, 28 1816 patients prospectively defined as being at low to moderate risk of ACS were risk stratified by initial laboratory findings and an 80-lead ECG. Patients were excluded if they had an initially elevated troponin (n=217), creatinine >2.0 ng/mL (n=52), or if the 80-lead ECG was abnormal (n=156).…”

Section: Case Reportmentioning

confidence: 99%

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Ischemic heart disease in the emergency room: state of the art, innovation and research

et al. 2013

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This opinion paper is aimed to provide an overview about the state of the art, innovation and research in ischemic heart disease in the emergency room, and is a synopsis of the lectures of the 3 rd Italian GREAT Network Congress (Rome, 15-19 October 2012). The leading issues of a multidisciplinary risk stratification and diagnosis of patients presenting to the emergency department with suspected ischemic heart disease will be discussed taking into consideration the variable onset of clinical signs and symptoms, the role of novel highly-sensitive troponin immunoassays, the promising use of an 80-lead electrocardiogram, echocardiography and risk stratification scores. Preliminary information will also be provided about the ongoing Italian multicentric registry on chest pain patients in emergency department, an observational prospective study aimed to collect data about patients presenting at the emergency department with typical chest pain suggesting an acute coronary syndrome.

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Section: Case Reportmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%