Appropriateness of Cardiovascular Imaging in the Initial Assessment of Possible Acute Coronary Syndrome in the Emergency Department
Patients presenting with chest pain and related symptoms account for over 6 million emergency department (ED) visits in the United States annually. However, less than 5% of these patients are ultimately diagnosed with acute coronary syndrome (ACS). ED clinicians face the diagnostic challenge of prom...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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IMR Press
2022-08-01
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| Series: | Reviews in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/RCM/23/9/10.31083/j.rcm2309293 |
| _version_ | 1828236628431208448 |
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| author | Shilpa Vijayakumar Nishant R. Shah |
| author_facet | Shilpa Vijayakumar Nishant R. Shah |
| author_sort | Shilpa Vijayakumar |
| collection | DOAJ |
| description | Patients presenting with chest pain and related symptoms account for over 6 million emergency department (ED) visits in the United States annually. However, less than 5% of these patients are ultimately diagnosed with acute coronary syndrome (ACS). ED clinicians face the diagnostic challenge of promptly identifying and treating these high-risk patients amidst the overwhelming majority of lower-risk patients for whom further testing and/or treatment is either unnecessary or non-urgent. To assist with and expedite risk stratification and decision-making in this challenging clinical scenario, diagnostic tools like clinical risk scores and high-sensitivity serum biomarkers have been incorporated into care algorithms within the ED. In this narrative review, we discuss how these tools impact the appropriate use of cardiovascular imaging in the initial assessment of patients presenting to the ED with possible ACS. |
| first_indexed | 2024-04-12T20:35:40Z |
| format | Article |
| id | doaj.art-10d8c97ef47346e09bfdd67e63950062 |
| institution | Directory Open Access Journal |
| issn | 1530-6550 |
| language | English |
| last_indexed | 2024-04-12T20:35:40Z |
| publishDate | 2022-08-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Reviews in Cardiovascular Medicine |
| spelling | doaj.art-10d8c97ef47346e09bfdd67e639500622022-12-22T03:17:35ZengIMR PressReviews in Cardiovascular Medicine1530-65502022-08-0123929310.31083/j.rcm2309293S1530-6550(22)00655-XAppropriateness of Cardiovascular Imaging in the Initial Assessment of Possible Acute Coronary Syndrome in the Emergency DepartmentShilpa Vijayakumar0Nishant R. Shah1Division of Cardiology, Department of Medicine, Alpert Medical School of Brown University, Providence, RI 02903, USADivision of Cardiology, Department of Medicine, Alpert Medical School of Brown University, Providence, RI 02903, USAPatients presenting with chest pain and related symptoms account for over 6 million emergency department (ED) visits in the United States annually. However, less than 5% of these patients are ultimately diagnosed with acute coronary syndrome (ACS). ED clinicians face the diagnostic challenge of promptly identifying and treating these high-risk patients amidst the overwhelming majority of lower-risk patients for whom further testing and/or treatment is either unnecessary or non-urgent. To assist with and expedite risk stratification and decision-making in this challenging clinical scenario, diagnostic tools like clinical risk scores and high-sensitivity serum biomarkers have been incorporated into care algorithms within the ED. In this narrative review, we discuss how these tools impact the appropriate use of cardiovascular imaging in the initial assessment of patients presenting to the ED with possible ACS.https://www.imrpress.com/journal/RCM/23/9/10.31083/j.rcm2309293cardiovascular imagingacute coronary syndromeemergency departmentrisk stratification |
| spellingShingle | Shilpa Vijayakumar Nishant R. Shah Appropriateness of Cardiovascular Imaging in the Initial Assessment of Possible Acute Coronary Syndrome in the Emergency Department Reviews in Cardiovascular Medicine cardiovascular imaging acute coronary syndrome emergency department risk stratification |
| title | Appropriateness of Cardiovascular Imaging in the Initial Assessment of Possible Acute Coronary Syndrome in the Emergency Department |
| title_full | Appropriateness of Cardiovascular Imaging in the Initial Assessment of Possible Acute Coronary Syndrome in the Emergency Department |
| title_fullStr | Appropriateness of Cardiovascular Imaging in the Initial Assessment of Possible Acute Coronary Syndrome in the Emergency Department |
| title_full_unstemmed | Appropriateness of Cardiovascular Imaging in the Initial Assessment of Possible Acute Coronary Syndrome in the Emergency Department |
| title_short | Appropriateness of Cardiovascular Imaging in the Initial Assessment of Possible Acute Coronary Syndrome in the Emergency Department |
| title_sort | appropriateness of cardiovascular imaging in the initial assessment of possible acute coronary syndrome in the emergency department |
| topic | cardiovascular imaging acute coronary syndrome emergency department risk stratification |
| url | https://www.imrpress.com/journal/RCM/23/9/10.31083/j.rcm2309293 |
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