Acute ischemic syndromes: Chest pain center concept

Ezra A. Amsterdam, William R. Lewis, J. Douglas Kirk, Deborah B. Diercks, Samuel Turnipseed

Research output: Contribution to journalReview article

28 Scopus citations

Abstract

Patients presenting to the emergency department with chest pain comprise a diverse group in terms of etiology and risk. Most do not have a life-threatening condition, but a low threshold for admission has resulted in large numbers of unnecessary admissions. Chest pain centers have evolved to facilitate improved management of these patients by rapid recognition and treatment of the high-risk group and triage of the low-risk group to more deliberate assessment. This approach has increasingly comprised accelerated diagnostic protocols of 6 to 12 hours by which low risk patients can be stratified into those requiring admission and those who can be discharged safely to outpatient management. This strategy has afforded safe, accurate, and efficient treatment of patients with acute chest pain of both high- and low-risk origins.

Original languageEnglish (US)
Pages (from-to)117-136
Number of pages20
JournalCardiology Clinics
Volume20
Issue number1
DOIs
StatePublished - Jan 1 2002

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Amsterdam, E. A., Lewis, W. R., Kirk, J. D., Diercks, D. B., & Turnipseed, S. (2002). Acute ischemic syndromes: Chest pain center concept. Cardiology Clinics, 20(1), 117-136. https://doi.org/10.1016/S0733-8651(03)00069-9