Outcome of low-risk patients discharged home after a normal cardiac troponin I

Journal of Emergency Medicine

Volumn 26, Issue 4, 2004, Pages 401-406

  Smith, Stephen W ^a,b   Tibbles, Carrie D ^a,c,d   Apple, Fred S ^a   Zimmerman, Marsha ^a  

^a HENNEPIN COUNTY MEDICAL CENTER   (United States)

^b UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

^c BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Acute coronary syndrome; Chest pain; Discharge to home; Myocardial infarction; Troponin

Indexed keywords

TROPONIN I;

ACUTE HEART FAILURE; ADULT; AGED; CONTROLLED STUDY; CORONARY ARTERY DISEASE; ELECTROCARDIOGRAM; EMERGENCY WARD; FEMALE; FOLLOW UP; HEART DEATH; HEART INFARCTION; HOSPITAL DISCHARGE; HUMAN; INCIDENCE; INTERVIEW; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; REVIEW; RISK ASSESSMENT; THORAX PAIN; TREATMENT OUTCOME;

EID: 1942484792     PISSN: 07364679     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jemermed.2003.12.021     Document Type: Article

References (33)

1. Pope J.H., Aufderheide T.P., Ruthazer R., et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 342:2000;1163-1170.
2. Lee T.H., Rouan G.W., Weisberg M.C., et al. Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency room. Am J Cardiol. 60:1987;219-224.
3. McCarthy B.D., Beshansky J.R., D'Agostino R.B., Selker H.P. Missed diagnoses of acute myocardial infarction in the emergency department results from a multicenter study. Ann Emerg Med. 22:1993;579-582.
4. Slater D.K., Hlatky M.A., Mark D.B., Harrell F.E., Pryor D.B., Califf R.M. Outcome in suspected acute myocardial infarction with normal or minimally abnormal admission electrocardiographic findings. Am J Cardiol. 60:1987;766-770.
5. Rouan G.W., Lee T.H., Cook F.E., Brand D.A., Weisberg M.C., Goldman L. Clinical characteristics and outcome of acute myocardial infarction in patients with initially normal or nonspecific electrocardiograms. (a report from the Multicenter Chest Pain Study) Am J Cardiol. 64:1989;1087-1092.
6. Karlson B.W., Herlitz J., Wiklund O., Richter A., Hjalmarson A. Early prediction of acute myocardial infarction from clinical history, examination and electrocardiogram in the emergency room. Am J Cardiol. 68:1991;171-175.
7. Fesmire F.M., Hughes A.D., Stout P.K., Wojcik J.F., Wharton D.R. Selective dual nuclear scanning in low-risk patients with chest pain to reliably identify and exclude acute coronary syndromes. Ann Emerg Med. 38:2001;207-215.
8. Farkouh M.E., Smars P.A., Reeder G.S., et al. A clinical trial of a chest-pain observation unit for patients with unstable angina. Chest Pain Evaluation in the Emergency Room (CHEER) Investigators. N Engl J Med. 339:1998;1882-1888.
9. Roberts R.R., Zalenski R.J., Mensah E.K., et al. Costs of an emergency department-based accelerated diagnostic protocol vs hospitalization in patients with chest pain a randomized controlled trial. JAMA. 278:1997;1670-1676.
10. Lindsay J. Jr, Bonnet Y.D., Pinnow E.E. Routine stress testing for triage of patients with chest pain is it worth the candle? Ann Emerg Med. 32:1998;600-603.
11. Mikhail M.G., Smith F.A., Gray M., Britton C., Frederiksen S.M. Cost-effectiveness of mandatory stress testing in chest pain center patients. Ann Emerg Med. 29:1997;88-98.
12. Zalenski R.J., Rydman R.J., McCarren M., et al. Feasibility of a rapid diagnostic protocol for an emergency department chest pain unit. Ann Emerg Med. 29:1997;99-108.
13. Tatum J.L., Jesse R.L., Kontos M.C., et al. Comprehensive strategy for the evaluation and triage of the chest pain patient. Ann Emerg Med. 29:1997;116-125.
14. Gibler W.B., Runyon J.P., Levy R.C., et al. A rapid diagnostic and treatment center for patients with chest pain in the emergency department. Ann Emerg Med. 25:1995;1-8.
15. Varetto T., Cantalupi D., Altieri A., Orlandi C. Emergency room technetium-99m sestamibi imaging to rule out acute myocardial ischemic events in patients with nondiagnostic electrocardiograms. J Am Coll Cardiol. 22:1993;1804-1808.
16. Limkakeng A. Jr, Gibler W.B., Pollack C., et al. Combination of Goldman risk and initial cardiac troponin I for emergency department chest pain patient risk stratification. Acad Emerg Med. 8:2001;696-702.
17. Alpert J., Thygesen K., Antman E., Bassand J.P. Myocardial infarction redefined a consensus document of the Joint European Society of cardiology/American College of Cardiology Committee for the redefinition of myocardial infarction. J Am Coll Cardiol. 36:2000;959-969.
18. Braunwald E., Antman E.M., Beasley J.W., et al. ACC/AHA guidelines for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. (Committee on the Management of Patients with Unstable Angina) J Am Coll Cardiol. 36:2000;970-1062.
19. Hamm C.W., Heeschen C., Goldmann B.U., et al. Value of troponins in predicting therapeutic efficacy of abciximab in patients with unstable angina. J Am Coll Cardiol. 31:1998;185A.
20. Lindahl B., Venge P., Wallentin L. Troponin T identifies patients with unstable coronary artery disease who benefit from long-term antithrombotic protection. Fragmin in Unstable Coronary Artery Disease (FRISC) Study Group. J Am Coll Cardiol. 29:1997;43-48.
21. Ohman E.M., Armstrong P.W., Christenson R.H., et al. Cardiac troponin T levels for risk stratification in acute myocardial ischemia. GUSTO IIA Investigators. N Engl J Med. 335:1996;1333-1341.
22. Stubbs P., Collinson P., Moseley D., et al. Prognostic significance of admission troponin T concentrations in patients with myocardial infarction. Circulation. 94:1996;1291-1297.
23. Hamm C.W., Goldman B.U., Heeschen C., Kreymann G., Berger J., Meinertz T. Emergency room triage of patients with acute chest pain by means of rapid testing for cardiac troponin T Or troponin I. N Engl J Med. 337:1997;1648-1653.
24. Antman E.M., Tanasijevic M.J., Thompson B., et al. Cardiac-specific troponin I levels to predict the risk of mortality in patients with acute coronary syndromes. N Engl J Med. 335:1996;1342-1349.
25. Ottani F., Galvani M., Nicolini F.A., et al. Elevated cardiac troponin levels predict the risk of adverse outcome in patients with acute coronary syndromes. Am Heart J. 140:2000;917-927.
26. Zimmerman J., Fromm R., Meyer D., et al. Diagnostic marker cooperative study for the diagnosis of myocardial infarction. Circulation. 99:1999;1671-1677.
27. Polanczyk C.A., Lee T.H., Cook E.F., et al. Cardiac troponin I as a predictor of major cardiac events in emergency department patients with acute chest pain. J Am Coll Cardiol. 32:1998;8-14.
28. Peacock W.I., Emerman C.L., McErlean E.S., et al. Prediction of short- and long-term outcomes by troponin T levels in low-risk patients evaluated for acute coronary syndromes. Ann Emerg Med. 35:2000;213-220.
29. Kontos M.C., Jesse R.L., Anderson P.C., Schmidt K.L., Ornato J.P., Tatum J.L. Comparison of myocardial perfusion imaging and cardiac troponin I in patients admitted to the emergency department with chest pain. Circulation. 99:1999;2073-2078.
30. Bholasingh R., de Winter R.J., Fischer J.C., Koster R.W., Peters R.J., Sanders G.T. Safe discharge from the cardiac emergency room with a rapid rule-out myocardial infarction protocol using serial CK-MB(mass). Heart. 85:2001;143-148.
31. Goldman L., Cook E.F., Brand D.A., et al. A computer protocol to predict myocardial infarction in emergency department patients with chest pain. N Engl J Med. 318:1988;797-803.
32. Hollander J.E., Sites F.D., Pollack C.V., J.r., Shofer F.S. Lack of utility of telemetry monitoring for identification of cardiac death and life-threatening ventricular dysrhythmias in low-risk patients with chest pain. Ann Emerg Med. 43:2004;71-76.
33. Selker P., Beshansky J.R., Griffith J.L., et al. 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. A multicenter, controlled clinical trial. Ann Intern Med. 129:1998;845-855.