BACKGROUND: Most patients with chest pain in the emergency department are assigned to
cardiac monitoring for several hours, blocking access for patients in greater need. We …

STUDY OBJECTIVE: We determine the rate of serious arrhythmias in a cohort of monitored
emergency department (ED) chest pain patients and derive a clinical decision rule that can …

Introduction The HEART (history, electrocardiogram [ECG], age, risk factors, troponin)
pathway is a useful tool in the emergency department to identify patients that are safe for …

OBJECTIVES: Current guidelines suggest that most patients who present to an emergency
department (ED) with chest pain should be placed on a continuous electrocardiographic …

Importance Patients with chest pain represent a high health care burden, but it may be
possible to identify a patient group with a low short-term risk of adverse cardiac events who …

Cardiac care units (CCUs) were created to identify serious dysrhythmias in patients with
acute myocardial infarction. 1 Concurrent with their evolution, the mortality of patients with …

Acute chest pain (CP), a leading symptom of persons presenting to emergency departments
(EDs), may represent a life-threatening emergency or nonurgent condition requiring routine …

Objectives: Current guidelines emphasize that emergency department (ED) patients at low
risk for potential ischemic chest pain cannot be discharged without extensive investigations …

Approximately 7 million patients present to the emergency department (ED) each year with
chest pain, at an estimated cost of $5 billion (1). Although a cardiovascular cause may be …

Background In emergency department (ED) chest pain patients, it is believed that the
diagnostic accuracy of the electrocardiogram (ECG) for acute coronary syndrome (ACS) is …