Evaluation of Chest Pain and Acute Coronary Syndromes

Anna Marie Chang, David L. Fischman, Judd E. Hollander

Research output: Contribution to journalArticle

Abstract

Chest pain is a common complaint in the emergency department, and it is the job of clinicians to rule out life-threatening diagnoses such as acute coronary syndrome. The history, physical examination, cardiac risk factors, electrocardiogram findings, and clinician judgment are often not enough to distinguish between causes of chest pain syndromes and to reliably rule out acute myocardial ischemia. New cardiac troponin assays, especially in conjunction with clinical decision algorithms, help clinicians rapidly exclude acute myocardial infarction. For further risk stratification, stress testing or coronary computed tomography angiography can be used in the emergency department.

Original languageEnglish (US)
JournalCardiology Clinics
DOIs
StateAccepted/In press - 2017
Externally publishedYes

Fingerprint

Acute Coronary Syndrome
Chest Pain
Hospital Emergency Service
Troponin
Physical Examination
Myocardial Ischemia
Electrocardiography
History
Myocardial Infarction
Computed Tomography Angiography

Keywords

  • Acute coronary syndrome
  • Chest pain
  • Coronary CT angiography
  • Troponin

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Chang, A. M., Fischman, D. L., & Hollander, J. E. (Accepted/In press). Evaluation of Chest Pain and Acute Coronary Syndromes. Cardiology Clinics. https://doi.org/10.1016/j.ccl.2017.08.001

Evaluation of Chest Pain and Acute Coronary Syndromes. / Chang, Anna Marie; Fischman, David L.; Hollander, Judd E.

In: Cardiology Clinics, 2017.

Research output: Contribution to journalArticle

Chang, Anna Marie ; Fischman, David L. ; Hollander, Judd E. / Evaluation of Chest Pain and Acute Coronary Syndromes. In: Cardiology Clinics. 2017.
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