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Identifying Emergency Department Patients With Chest Pain Who Are at Low Risk for Acute Coronary Syndromes
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For the evaluation of suspected acute coronary syndromes (ACS) in the ED, consensus guidelines recommend obtaining basic history, physical examination, electrocardiogram (ECG), cardiac biomarkers, and chest radiography. If these tests are unremarkable, confirmatory tests can be performed, with a focus on diagnosis of atherosclerotic coronary artery disease (CAD).
History cannot reliably rule in or rule out ACS.
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