Triple-rule-out CT angiography for evaluation of acute chest pain and possible acute coronary syndrome

EJ Halpern - Radiology, 2009 - pubs.rsna.org
Triple-rule-out (TRO) computed tomographic (CT) angiography can provide a cost-effective
evaluation of the coronary arteries, aorta, pulmonary arteries, and adjacent intrathoracic …

Effect of using the HEART score in patients with chest pain in the emergency department: a stepped-wedge, cluster randomized trial

JM Poldervaart, JB Reitsma, BE Backus… - Annals of internal …, 2017 - acpjournals.org
This article has been corrected. The original version (PDF) is appended to this article as a
Supplement. Background: The HEART (History, Electrocardiogram, Age, Risk factors, and …

Potential value for new diagnostic markers in the early recognition of acute coronary syndromes

G Lippi, M Montagnana, GL Salvagno… - Canadian Journal of …, 2006 - cambridge.org
The diagnostic approach to acute coronary syndromes (ACS) remains one of the most
difficult and controversial challenges facing emergency physicians. In recent years, cardiac …

A 1-h combination algorithm allows fast rule-out and rule-in of major adverse cardiac events

A Mokhtari, C Borna, P Gilje, P Tydén, B Lindahl… - Journal of the American …, 2016 - jacc.org
Background: A 1-h algorithm based on high-sensitivity cardiac troponin T (hs-cTnT) testing
at presentation and again 1 h thereafter has been shown to accurately rule out acute …

Sensitivity, specificity, and sex differences in symptoms reported on the 13‐item acute coronary syndrome checklist

HA DeVon, A Rosenfeld, AD Steffen… - Journal of the American …, 2014 - Am Heart Assoc
Background Clinical symptoms are part of the risk stratification approaches used in the
emergency department (ED) to evaluate patients with suspected acute coronary syndromes …

The effect of physician risk tolerance and the presence of an observation unit on decision making for ED patients with chest pain

JM Pines, JA Isserman, D Szyld, AJ Dean… - The American journal of …, 2010 - Elsevier
OBJECTIVES: We sought to determine whether risk tolerance as measured by scales
(malpractice fear scale [MFS], risk-taking scale [RTS], and stress from uncertainty scale …

Integrated care in the emergency department: a complex adaptive systems perspective

P Nugus, K Carroll, DG Hewett, A Short, R Forero… - Social science & …, 2010 - Elsevier
Emergency clinicians undertake boundary-work as they facilitate patient trajectories through
the Emergency Department (ED). Emergency clinicians must manage the constantly …

The risk of missed diagnosis of acute myocardial infarction associated with emergency department volume

MJ Schull, MJ Vermeulen, TA Stukel - Annals of emergency medicine, 2006 - Elsevier
STUDY OBJECTIVE: Missed diagnosis of acute myocardial infarction is associated with
adverse clinical outcomes and more dollars recovered in malpractice suits than any other …

A clinical prediction rule for early discharge of patients with chest pain

J Christenson, G Innes, D McKnight… - Annals of emergency …, 2006 - Elsevier
STUDY OBJECTIVE: Current risk stratification tools do not identify very-low-risk patients who
can be safely discharged without prolonged emergency department (ED) observation …

ALARMED: adverse events in low-risk patients with chest pain receiving continuous electrocardiographic monitoring in the emergency department. A pilot study

C Atzema, MJ Schull, B Borgundvaag… - The American journal of …, 2006 - Elsevier
OBJECTIVES: Current guidelines suggest that most patients who present to an emergency
department (ED) with chest pain should be placed on a continuous electrocardiographic …