Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8720012 | Journal Européen des Urgences et de Réanimation | 2017 | 5 Pages |
Abstract
Acute chest pain is a common reason of consultation in the emergency department. The difficulty lies in discriminating patients with acute coronary syndrome or other life-threatening conditions from those non-cardiovascular, non-life-threatening chest pain. Only 15Â to 25Â % of patients with acute chest pain actually have acute coronary syndrome. Algorithms using high sensitivity troponin at admission and a second assessment 1Â or 3Â hours later are validated to “rule in” or “rule out” the diagnosis of non ST-elevation myocardial infarction. This may reduce the delay for the diagnosis translating into shorter stay in the emergency department. Those algorithms must be interpreted in the context of clinical and ECG criteria.
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Authors
O. Nallet, N. Ketata, N. Ferrier, X. Marcaggi,