2000
DOI: 10.1016/s0002-9149(00)00755-4
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Evaluation of chest pain suspicious for acute coronary syndrome: use of an accelerated diagnostic protocol in a chest pain evaluation unit

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Cited by 39 publications
(18 citation statements)
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“…If on one hand inappropriate admission of non-cardiac chest pain patients is an enormous, avoidable cost for society and an avoidable loss of time for the patient, these missed diagnoses account for 20% of malpractice indemnities [6,7]. Unnecessary admissions in Coronary Care Units cost 0167-5273/$ -see front matter D 2004 Elsevier Ireland Ltd. All rights reserved.…”
mentioning
confidence: 99%
“…If on one hand inappropriate admission of non-cardiac chest pain patients is an enormous, avoidable cost for society and an avoidable loss of time for the patient, these missed diagnoses account for 20% of malpractice indemnities [6,7]. Unnecessary admissions in Coronary Care Units cost 0167-5273/$ -see front matter D 2004 Elsevier Ireland Ltd. All rights reserved.…”
mentioning
confidence: 99%
“…This approach is safe and cost-effective, but is limited to patients who can exercise and have a normal baseline ECG. 20 Resting single-photon emission computed tomography (SPECT) imaging during chest pain has a relevant role for ACS (sensitivity, 90%-100%; specificity, 60%-78%; negative predictive value, 97%-100%). [21][22][23][24][25] The addition of stress imaging in stable patients improves diagnostic accuracy.…”
Section: Testing Optionsmentioning
confidence: 99%
“…9,11,13,19,20 Positive findings mandate admission for further management. Negative findings are consistent with absence of MI and ischemia at rest.…”
Section: Accelerated Diagnostic Protocolsmentioning
confidence: 99%