• Med. Clin. North Am. · Jul 2015

    Review

    Chest pain evaluation in the emergency department.

    • Andrew J Foy and Lisa Filippone.
    • Division of Cardiology, Heart and Vascular Institute, Milton S. Hershey Medical Center, Penn State University, 500 University Drive, Hershey, PA 17033, USA.
    • Med. Clin. North Am. 2015 Jul 1; 99 (4): 835-47.

    AbstractChest pain is a common complaint in the emergency department. Recognition of chest pain symptoms and electrocardiographic changes consistent with acute coronary syndrome (ACS) can lead to prompt initiation of goal-directed therapy. Cardiac troponin testing confirms the diagnosis of acute myocardial infarction, but does not reveal the mechanism of injury. When patients with chest pain rule out for ACS the use of advanced, noninvasive testing has not been found to be associated with better patient outcomes.Copyright © 2015 Elsevier Inc. All rights reserved.

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