التفاصيل البيبلوغرافية
| العنوان: |
Utilization of stress testing for low-risk patients with chest discomfort in the emergency department. |
| المؤلفون: |
Krishnan, Sheela, Venn, Rachael, Blumenthal, Daniel M., Bhambhani, Vijeta, Gewirtz, Henry, Weiner, Rory B., Nagurney, John T., Wasfy, Jason H. |
| المصدر: |
Journal of Nuclear Cardiology; Oct2019, Vol. 26 Issue 5, p1642-1646, 5p |
| مستخلص: |
Background: The management of patients presenting to an emergency department with chest discomfort at low-risk for acute coronary syndrome represents a common clinical challenge. Such patients are often triaged to chest pain units for monitoring and cardiac stress testing for further risk stratification.Methods: We conducted a retrospective study of 292 low-risk patients who presented to an emergency department with chest discomfort. We performed physician-adjudicated chart reviews of all patients with positive stress tests to assess downstream testing, subsequent coronary revascularization, and outcomes.Results: Of the 292 patients, 33 (11.3%) had stress tests positive for ischemia, and 12 (4.1%) underwent diagnostic cardiac catheterization. Of the 292 patients, 4 (1.4%) underwent coronary revascularization that may have resulted in a mortality benefit.Conclusion: These data suggest a very low yield of detecting clinically significant coronary disease with stress testing low-risk patients with chest discomfort in emergency department chest pain units. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
