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Comment & Response |

Low-Risk Chest Pain in the Emergency Department Should We Be Focusing on Better Follow-up Instead of Accelerated Testing?

Dustin G. Mark, MD1; David R. Vinson, MD2
[+] Author Affiliations
1Department of Emergency Medicine, Kaiser Permanente, East Bay, Oakland, California
2Department of Emergency Medicine, Kaiser Permanente, Roseville, Roseville, California
JAMA Intern Med. 2014;174(6):1009-1010. doi:10.1001/jamainternmed.2014.924.
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To the Editor We would like to thank Than and colleagues13 for their efforts to safely streamline the emergency department (ED) evaluation of low-risk patients with chest pain. We are concerned, however, that their data could be read to suggest that 30-day major adverse cardiac events (MACEs) can be safely excluded in emergency department (ED) patients with possible acute coronary syndrome based purely on low-risk results using their accelerated diagnostic protocol. Such an interpretation of this study would be misleading.


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June 1, 2014
Martin Than, MBBS; Sally Aldous, MBBS; Joanne Young, PhD
1Emergency Department, Christchurch Hospital, Christchurch, New Zealand
JAMA Intern Med. 2014;174(6):1010. doi:10.1001/jamainternmed.2014.914.
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