<< Identifying Emergency Department Patients With Chest Pain Who Are at Low Risk for Acute Coronary Syndromes

Critical Appraisal Of The Literature

There is a large body of research on the evaluation and management of undifferentiated chest pain in the ED. Narrowing this work to chest pain only from presumed ACS yielded 1145 articles (using the search terms chest pain, acute coronary syndrome, and emergency department). Among these, articles from the following categories were reviewed: low risk (169 articles), risk stratification (168 articles), clinical decision rules (35 articles), stress testing (91 articles), cardiac imaging (128 articles), and disposition (31 articles).

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