Accepted for Publication: February 26, 2015.
Published Online: May 18, 2015. doi:10.1001/jamainternmed.2015.1674.
Study concept and design: Weinstock, Weingart, Kaide, Newman.
Acquisition, analysis, or interpretation of data: Weinstock, Weingart, VanFossen, Orth, Kaide, Anderson, Newman.
Drafting of the manuscript: Weinstock, Weingart, Newman.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Weinstock, Anderson, Newman.
Obtained funding: Weinstock.
Administrative, technical, or material support: Weinstock, VanFossen, Newman.
Study supervision: Weinstock, Weingart, Orth, Newman.
Conflict of Interest Disclosures: Dr Weinstock receives royalties for the books Bouncebacks!, Bouncebacks! Medical and Legal, and Bouncebacks! Pediatrics. Dr VanFossen has served as a speaker and on the advisory board for Astra Zeneca. Dr Kaide is the chief clinical advisor and serves on the clinical advisory board for Callibra, Inc. No other disclosures were reported.
Additional Contributions: Deb Davis, BS (Data Team, Mount Carmel Health System), assisted with programming and downloading the required data elements from the Chest Pain database. She received no compensation for this contribution. Hark Singh, MD, Mount Carmel Family Medicine, served as a blinded data extractor and was paid by Dr Weinstock for this contribution. Dana Beyazian, RN, Emergency Department, Mount Carmel St. Ann’s, served as a blinded data extractor and was paid by the Mount Carmel Cardiac and Vascular Service line for this contribution. Christopher M. Frank, MD, Section of Cardiology, Department of Internal Medicine, Mount Carmel Medical Group, reviewed the medical records identified with the occurrence of arrhythmia or insertion of a pacemaker or defibrillator and was not paid for this service.