This study analyzed the National Hospital Ambulatory Medical Care Survey database to assess the accuracy of diagnoses in patients who present to the emergency department with nontraumatic chest pain.
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This blinded data review of a prospectively collected database of adult patients admitted or observed with potentially ischemic chest pain found that the risk for a clinically relevant adverse cardiac event was rare and commonly iatrogenic.
This Editorial discusses overuse of medical services and proposes ways to assess and reduce patterns of overuse.
This case series identifies a familial association in spontaneous coronary artery dissection suggesting a genetic predisposition.
This retrospective analysis of testing strategies for patients with chest pain evaluated in the ED finds that deferral of early noninvasive testing appears to be reasonable.
This retrospective study of ED visits by adults shows that cardiac biomarker testing in the ED is common even among those without symptoms suggestive of acute coronary syndrome.
Rubini Gimenez et al explore the diagnostic performance of sex-specific chest pain characteristics with the aim of improving the management of suspected acute myocardial infarction (AMI) in women. See the Invited Commentary by Pilote.
Than and coauthors compared the effectiveness of a rapid diagnostic pathway with a standard-care diagnostic pathway for the assessment of patients with possible cardiac chest pain in a usual clinical practice setting. See also the Invited Commentary by Rahko.