Combination of goldman risk and initial cardiac troponin I for emergency department chest pain patient risk stratification

Academic Emergency Medicine

Volumn 8, Issue 7, 2001, Pages 696-702

  Limkakeng, A ^a   Gibler, W B ^a   Pollack, C ^a   Hoekstra, J W ^a   Sites, F ^a   Shofer, F S ^a   Tiffany, B ^a   Wilke, E ^a   Hollander, J E ^a  

^a HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Acute coronary syndrome; Chest pain; Complications; Myocardial infarction; Risk stratification

Indexed keywords

CREATINE KINASE MB; TROPONIN I;

ADULT; AGED; ARTICLE; CALCULATION; COHORT ANALYSIS; CONTROLLED STUDY; DEATH; DEMOGRAPHY; DIAGNOSTIC PROCEDURE; DISEASE COURSE; ELECTROCARDIOGRAPHY; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; FOLLOW UP; HEART INFARCTION; HEART MUSCLE REVASCULARIZATION; HIGH RISK PATIENT; HOSPITAL DISCHARGE; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; PATIENT SELECTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; PROTEIN BLOOD LEVEL; REFERENCE VALUE; RISK ASSESSMENT; THORAX PAIN; TREATMENT PLANNING;

AGED; ALGORITHMS; ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY; CHEST PAIN; CORONARY ARTERY BYPASS; CREATINE KINASE; CREATINE KINASE, MB FORM; ELECTROCARDIOGRAPHY; EMERGENCY TREATMENT; FEMALE; HUMANS; ISOENZYMES; MALE; MEDICAL HISTORY TAKING; MIDDLE AGED; MYOCARDIAL INFARCTION; PHYSICAL EXAMINATION; PROGNOSIS; PROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; SENSITIVITY AND SPECIFICITY; SEVERITY OF ILLNESS INDEX; TROPONIN I;

EID: 0034938890     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2001.tb00187.x     Document Type: Article

References (43)

1. A computer-derived protocol to aid in the diagnosis of emergency room patients with acute chest pain
2. A computer protocol to predict myocardial infarction in emergency department patients with chest pain
3. Ruling out myocardial infarction: A prospective multicenter validation of a 12-hour strategy for patients at low risk
4. 31st Bethesda Conference. Emergency Cardiac Care. Task Force 2: Acute coronary syndromes: Section 2B - Chest discomfort evaluation in the hospital
5. Electrocardiographic and clinical predictors of acute myocardial infarction in patients with unstable angina pectoris
6. Acute chest pain in the emergency room: Identification and examination of low-risk patients
7. Presentations of acute myocardial infarction in men and women
8. Do patients' coronary risk factor reports predict acute cardiac ischemia in the emergency department? A multicenter study
9. Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency room
10. Clinical characteristics and outcome of acute myocardial infarction in patients with initially normal or nonspecific electrocardiograms
11. Missed diagnosis of acute cardiac ischemia in the emergency department
12. Prediction of the need for intensive care in patients who come to emergency departments with acute chest pain
13. Evaluation of the emergency department chest pain patient
14. Comprehensive strategy for the evaluation and triage of the chest pain patient
15. Ten things emergency physicians should not do unless they want to become defendants
16. An evaluation of technologies for identifying acute cardiac ischemia in the emergency department: A report from the National Heart Attack Alert Program Working Group
17. Use of the acute cardiac ischemia time-insensitive predictive instrument (ACI-TIPI) to assist with triage of patients with chest pain or other symptoms suggestive of acute cardiac ischemia
18. A predictive instrument to improve coronary care unit admission practices in acute ischemic heart disease
19. Use of an artificial neural network for the diagnosis of myocardial infarction
20. A clinical trial of a chest pain observation unit for patients with unstable angina
21. Chest pain centers: Diagnosis of acute coronary syndromes
22. Chest pain emergency centers: Improving acute myocardial infarction care
23. Feasibility of a rapid diagnostic protocol for an emergency department chest pain unit
24. A rapid diagnostic and treatment center for patients with chest pain in the emergency department
25. Outcome of patients who were admitted to a new short-stay unit to "rule out" myocardial infarction
26. The continuing search to identify the verylow-risk chest pain patient
27. Comparison of myocardial perfusion imaging and cardiac troponin I in patients admitted to the emergency department with chest pain
28. Clinical value of acute rest technetium-99m tetrofosmin tomographic myocardial perfusion imaging in Patients with acute chest pain and nondiagnostic electrocardiograms
29. Detection of acute myocardial infarction by 99mTc-labeled D-glucaric acid imaging in patients with acute chest pain
30. Emergency room technetium-99m sestamibi imaging to rule out acute myocardial ischemia events in patients with non-diagnostic electrocardiograms
31. Technetium-99m sestamibi myocardial perfusion imaging in the emergency room evaluation of chest pain
32. Resting sestamibi imaging for the prognosis of low risk chest pain
33. Cardiac troponin I. A marker with high specificity for cardiac injury
34. Clinical efficacy of three assays for cardiac troponin I for risk stratification in acute coronary syndromes: A Thrombolysis in Myocardial Infarction (TIMI) IIB substudy
35. Evaluation of a new assay for cardiac troponin I vs. Creatine kinase-MB for the diagnosis of acute myocardial infarction
36. Cardiac-specific troponin I levels to predict the risk of mortality in patients with acute coronary syndromes
37. Prognostic influence of elevated values of cardiac troponin I in patients with unstable angina
38. Emergency room triage of patients with acute chest pain by means of rapid testing for cardiac troponin T or troponin I
39. The prognostic significance of troponin I and troponin T
40. Use of troponin T and creatine kinase-MB subunit levels for risk stratification of emergency department patients with possible myocardial ischemia
41. Myocardial infarction and coronary deaths in the World Health Organization MONICA Project: Registration procedures, event rates, and case-fatality rates in 38 populations from 21 countries in four continents
42. Release kinetics of serum cardiac troponin I in ischemic myocardial injury
43. Early diagnostic efficiency of cardiac troponin I and troponin T for acute myocardial infarction