TY - JOUR
T1 - Assessing the need for functional diagnostic testing in low-risk women with chest pain
AU - Diercks, Deborah B.
AU - Kirk, J. Douglas
AU - Turnipseed, Samuel D.
AU - Amsterdam, Ezra A.
PY - 2006/3
Y1 - 2006/3
N2 - OBJECTIVE: The objective of this study was to assess the need for functional diagnostic testing to identify coronary artery disease (CAD) in women presenting with chest pain and deemed at low risk in a chest pain evaluation unit (CPEU) setting. METHODS: Low-risk women evaluated in a CPEU were defined as having ≤1 intermediate determinant of CAD (hypertension, tobacco use, or hypercholesterolemia) or ≤2 minor determinants (age, obesity, sedentary lifestyle, or family history of CAD). Patients were followed for 30 days for the occurrence of CAD, defined as a positive stress imaging study, significant CAD on angiography, myocardial revascularization, myocardial infarction (MI), or cardiac death. RESULTS: Of 1355 consecutive women evaluated, 527 (39%) were classified as low risk. The rate of CAD in the low-risk group was 1.3% of which there were no coronary events. CONCLUSION: Women admitted to a CPEU and identified as low risk are at very low risk for CAD.
AB - OBJECTIVE: The objective of this study was to assess the need for functional diagnostic testing to identify coronary artery disease (CAD) in women presenting with chest pain and deemed at low risk in a chest pain evaluation unit (CPEU) setting. METHODS: Low-risk women evaluated in a CPEU were defined as having ≤1 intermediate determinant of CAD (hypertension, tobacco use, or hypercholesterolemia) or ≤2 minor determinants (age, obesity, sedentary lifestyle, or family history of CAD). Patients were followed for 30 days for the occurrence of CAD, defined as a positive stress imaging study, significant CAD on angiography, myocardial revascularization, myocardial infarction (MI), or cardiac death. RESULTS: Of 1355 consecutive women evaluated, 527 (39%) were classified as low risk. The rate of CAD in the low-risk group was 1.3% of which there were no coronary events. CONCLUSION: Women admitted to a CPEU and identified as low risk are at very low risk for CAD.
KW - Emergency department
KW - Functional testing
KW - Women
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U2 - 10.1097/01.hpc.0000202245.15374.90
DO - 10.1097/01.hpc.0000202245.15374.90
M3 - Article
C2 - 18340220
AN - SCOPUS:33749446471
SN - 1535-282X
VL - 5
SP - 64
EP - 68
JO - Critical pathways in cardiology
JF - Critical pathways in cardiology
IS - 1
ER -