Contemporary Risk Stratification of Acute Coronary Syndrome
Chest pain is one of the most common presenting concerns of patients seeking care in the emergency department, and the underlying etiology can range from acute coronary syndrome to various other non-cardiac causes. Initial evaluation should focus on characterizing symptoms and identifying risk facto...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Radcliffe Medical Media
2022-10-01
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| Series: | US Cardiology Review |
| Online Access: | https://www.uscjournal.com/articleindex/usc.2022.10 |
| _version_ | 1797199964165636096 |
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| author | Gurleen Kaur Swati Chand Devesh Rai Bipul Baibhav Ron Blankstein Debabrata Mukherjee Phillip Levy Martha Gulati |
| author_facet | Gurleen Kaur Swati Chand Devesh Rai Bipul Baibhav Ron Blankstein Debabrata Mukherjee Phillip Levy Martha Gulati |
| author_sort | Gurleen Kaur |
| collection | DOAJ |
| description | Chest pain is one of the most common presenting concerns of patients seeking care in the emergency department, and the underlying etiology can range from acute coronary syndrome to various other non-cardiac causes. Initial evaluation should focus on characterizing symptoms and identifying risk factors, but further risk stratification using clinical decision pathways and biomarkers (cardiac troponin) is essential. The 2021 American Heart Association/American College of Cardiology guidelines for the evaluation and diagnosis of chest pain represent the first ever guidelines for the evaluation of patients with acute chest pain. The contemporary risk stratification methods described in these guidelines allow for the identification of patient subgroups: patients who do not require further testing, patients who should proceed directly to the cath lab, and patients who will benefit from further anatomic or functional testing. In this review, we describe contemporary risk stratification methods for acute coronary syndrome and summarize the recommendations put forth by the guidelines. |
| first_indexed | 2024-03-07T17:39:40Z |
| format | Article |
| id | doaj.art-1830aeef15dd4ada80dab552f12c5037 |
| institution | Directory Open Access Journal |
| issn | 1758-3896 1758-390X |
| language | English |
| last_indexed | 2024-04-24T07:24:07Z |
| publishDate | 2022-10-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | US Cardiology Review |
| spelling | doaj.art-1830aeef15dd4ada80dab552f12c50372024-04-20T16:03:03ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2022-10-011610.15420/usc.2022.10Contemporary Risk Stratification of Acute Coronary SyndromeGurleen Kaur0Swati Chand1Devesh Rai2Bipul Baibhav3Ron Blankstein4Debabrata Mukherjee5Phillip Levy6Martha Gulati7Department of Internal Medicine, Brigham and Women’s Hospital, Boston, MADepartment of Internal Medicine, Rochester General Hospital, Rochester, NYDepartment of Cardiology, Sands-Constellation Heart Institute, Rochester Regional Health, Rochester, NYDepartment of Cardiology, Sands-Constellation Heart Institute, Rochester Regional Health, Rochester, NYCardiovascular Division, Brigham and Women’s Hospital, Boston, MADivision of Cardiovascular Diseases, Texas Tech University Health Sciences Center at El Paso, El Paso, TXDepartment of Emergency Medicine, Wayne State University, Detroit, MIDepartment of Cardiology, Barbra Streisand Women’s Heart Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, CAChest pain is one of the most common presenting concerns of patients seeking care in the emergency department, and the underlying etiology can range from acute coronary syndrome to various other non-cardiac causes. Initial evaluation should focus on characterizing symptoms and identifying risk factors, but further risk stratification using clinical decision pathways and biomarkers (cardiac troponin) is essential. The 2021 American Heart Association/American College of Cardiology guidelines for the evaluation and diagnosis of chest pain represent the first ever guidelines for the evaluation of patients with acute chest pain. The contemporary risk stratification methods described in these guidelines allow for the identification of patient subgroups: patients who do not require further testing, patients who should proceed directly to the cath lab, and patients who will benefit from further anatomic or functional testing. In this review, we describe contemporary risk stratification methods for acute coronary syndrome and summarize the recommendations put forth by the guidelines.https://www.uscjournal.com/articleindex/usc.2022.10 |
| spellingShingle | Gurleen Kaur Swati Chand Devesh Rai Bipul Baibhav Ron Blankstein Debabrata Mukherjee Phillip Levy Martha Gulati Contemporary Risk Stratification of Acute Coronary Syndrome US Cardiology Review |
| title | Contemporary Risk Stratification of Acute Coronary Syndrome |
| title_full | Contemporary Risk Stratification of Acute Coronary Syndrome |
| title_fullStr | Contemporary Risk Stratification of Acute Coronary Syndrome |
| title_full_unstemmed | Contemporary Risk Stratification of Acute Coronary Syndrome |
| title_short | Contemporary Risk Stratification of Acute Coronary Syndrome |
| title_sort | contemporary risk stratification of acute coronary syndrome |
| url | https://www.uscjournal.com/articleindex/usc.2022.10 |
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