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Management of Acute Coronary Syndromes pp 121–155Cite as

Emergency Department Presentations of Acute Cardiac Ischemia

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Part of the book series: Contemporary Cardiology ((CONCARD))

Abstract

In the United States, the leading cause of death is acute myocardial infarction (AMI) with as many as 1.1 million patients having MIs annually (1), about half of whom come to emergency departments (EDs). In addition, nearly twice as many patients come to EDs with unstable angina pectoris (UAP). A confirmed diagnosis of the same will be found in only 25% of patients who present to the ED with symptoms suggestive of acute cardiac ischemia (ACI) (2). Fortunately, the missed diagnosis rate for AMI and UAP in this setting is about 2% each (3). Clinicians have the task of identifying, treating, and hospitalizing (in the appropriate unit) those patients with true ACI, to avoid filling hospital telemetry, stepdown units, and coronary care units (CCUs) with the large majority of patients who do not have ACI.

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Authors
  1. J. Hector Pope MD
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  2. Harry P. Selker MD
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Editors and Affiliations

  1. Cardiovascular Division, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA

    Christopher P. Cannon MD (Associate Professor of Medicine) (Associate Professor of Medicine)

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Pope, J.H., Selker, H.P. (2003). Emergency Department Presentations of Acute Cardiac Ischemia. In: Cannon, C.P. (eds) Management of Acute Coronary Syndromes. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-351-4_5

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