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


Most patients presenting to the ED with chest pain who are hemodynamically stable, have normal or nondiagnostic serial ECGs, negative serial biomarkers, and are at low risk for MACE based on a validated clinical risk score can be safely discharged, and despite current consensus guideline recommendations, do not seem to benefit from additional confirmatory testing. Patients with an unremarkable ED evaluation but who are still at intermediate or high risk for ACS or MACE based on validated clinical risk scores are more likely to benefit from admission to an observation or inpatient setting for confirmatory testing and further risk stratification.

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