• Emerg. Med. Clin. North Am. · Aug 2017

    Review

    Care of the Patient with Chest Pain in the Observation Unit.

    • Joseph B Borawski, Louis G Graff, and Alexander T Limkakeng.
    • Division of Emergency Medicine, Duke University Medical Center, 2424 Erwin Road, Suite 504, Durham, NC 27705, USA. Electronic address: joseph.borawski@duke.edu.
    • Emerg. Med. Clin. North Am. 2017 Aug 1; 35 (3): 535-547.

    AbstractCare of the patient presenting to an emergency department (ED) with chest pain remains a common yet challenging aspect of emergency medicine. Acute coronary syndrome presents in nonspecific fashion. The development and evolution of the ED-based observation unit has helped to safely assess and diagnose those most at risk for an adverse cardiac event. Furthermore, there are several provocative testing modalities to help assess for coronary artery disease. This article serves to describe and discuss the modern ED-based observation unit approach to patients with chest pain and/or angina equivalents presenting to an ED.Copyright © 2017 Elsevier Inc. All rights reserved.

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