• Am J Emerg Med · Jun 2014

    Identification of high-risk patients with acute coronary syndrome using point-of-care echocardiography in the ED.

    • Arun Nagdev, Oron Frenkel, and Christine Riguzzi.
    • Department of Emergency Medicine, Alameda Health System-Highland General Hospital, Oakland, CA. Electronic address: oron.frenkel@gmail.com.
    • Am J Emerg Med. 2014 Jun 1;32(6):670-2.

    AbstractStratifying risk of patients with acute coronary syndrome (ACS) in the emergency department (ED) remains a frequent challenge. When ST-elevation criteria are absent, current recommendations rely upon insensitive and time-intensive methods such as the electrocardiogram and cardiac enzyme testing. Here, we report on a series of cases, where emergency physicians used a simplified model for identifying regional wall motion abnormalities by point-of-care echocardiography in patients presenting with chest pain to the ED. With the use of a simplified model described herein, high-risk patients with ACS were identified rapidly in a cohort usually difficult to risk stratify.Copyright © 2014 Elsevier Inc. All rights reserved.

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