Chest pain unit concept: Rationale and diagnostic strategies

Andra L. Blomkalns, W. Brian Gibler

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Each year in the United States, over 8 million patients present to the emergency department (ED) with complaints of chest discomfort or other symptoms consistent with possible acute coronary syndrome (ACS). While over half of these patients are typically admitted for further diagnostic evaluation, fewer than 20% are diagnosed with ACS. With hospital beds and inpatient resources scarce, these admissions can be avoided by evaluating low- to moderate-risk patients in chest pain units. This large, undifferentiated patient population represents a potential high-risk group for emergency physicians requiring a systematic approach and specific ED resources. This evaluation is required to appropriately determine if a patient is safe to be discharged home with outpatient follow-up versus requiring admission to the hospital for monitoring and further testing.

Original languageEnglish (US)
Pages (from-to)411-421
Number of pages11
JournalCardiology Clinics
Volume23
Issue number4
DOIs
StatePublished - Nov 1 2005

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Chest Pain
Acute Coronary Syndrome
Hospital Emergency Service
Inpatients
Emergencies
Outpatients
Thorax
Physicians
Population

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Chest pain unit concept : Rationale and diagnostic strategies. / Blomkalns, Andra L.; Gibler, W. Brian.

In: Cardiology Clinics, Vol. 23, No. 4, 01.11.2005, p. 411-421.

Research output: Contribution to journalArticle

Blomkalns, Andra L. ; Gibler, W. Brian. / Chest pain unit concept : Rationale and diagnostic strategies. In: Cardiology Clinics. 2005 ; Vol. 23, No. 4. pp. 411-421.
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