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Chest pain triage: Current trends in the emergency departments in the United States

  • Review Article
  • Published:
Journal of Nuclear Cardiology Aims and scope

Abstract

Chest pain is one of the most common complaints in the emergency department (ED). Over the past decade, there has been a significant shift in the approach to patients with chest pain in the ED. With the development of improved cardiac biomarkers, the validation of clinical scoring systems, and an increasing emphasis on shared patient medical decision making, increasing numbers of patients in the ED are being evaluated without requiring admission to the hospital.

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Abbreviations

ACS:

Acute coronary syndrome (S)

CAD:

Coronary artery disease

CP:

Chest pain

CR:

Coronary revascularization

CTA:

Computed tomography angiography

ED:

Emergency department

MI:

Myocardial infarction

MPI:

Myocardial perfusion imaging

MRI:

Magnetic resonance imaging

NPV:

Negative predictive value

PPV:

Positive predictive value

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Correspondence to Matthew C. DeLaney MD, FACEP, FAAEM.

Additional information

See related editorial, doi:10.1007/s12350-016-0668-z.

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DeLaney, M.C., Neth, M. & Thomas, J.J. Chest pain triage: Current trends in the emergency departments in the United States. J. Nucl. Cardiol. 24, 2004–2011 (2017). https://doi.org/10.1007/s12350-016-0578-0

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  • DOI: https://doi.org/10.1007/s12350-016-0578-0

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