Stress testing in young low-risk patients with potential acute coronary syndromes

American Journal of Emergency Medicine

Volumn 30, Issue 5, 2012, Pages 639-642

  Hamilton, Baker ^a   Shofer, Frances S ^a   Walsh, Kristy M ^a   Decker, Christopher S ^a   Calderone, Mary ^a   Le, Jeffrey A ^a   Hollander, Judd E ^a  

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

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE CORONARY SYNDROME; ACUTE HEART INFARCTION; ADULT; ADVERSE OUTCOME; ARTICLE; EXERCISE TEST; FEMALE; FOLLOW UP; HEART CATHETERIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MORTALITY; PHARMACOLOGIC STRESS TESTING; PRIORITY JOURNAL; REVASCULARIZATION; TELECONSULTATION;

ACUTE CORONARY SYNDROME; ADULT; CHI-SQUARE DISTRIBUTION; EMERGENCY SERVICE, HOSPITAL; EXERCISE TEST; FEMALE; HUMANS; MALE; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; RISK FACTORS;

EID: 84861895361     PISSN: 07356757     EISSN: 15328171     Source Type: Journal    
DOI: 10.1016/j.ajem.2011.02.036     Document Type: Article

References (16)

1. Pitts SR, Niska RW. National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary. Natl Health Stat Rep 2008;7:1-40.
2. Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnosis of acute cardiac ischemia in the emergency department. N Engl J Med 2000;342:1163-70. (Pubitemid 30211047)
3. Han JH, Lindsell CJ, Storrow AB, et al. The role of cardiac risk factor burden in diagnosing acute coronary syndromes in the emergency department setting. Ann Emerg Med 2007;49:145-52.
4. Marsan Jr RJ, Shaver KJ, Sease KL, et al. Evaluation of a clinical decision rule for young adult patients with chest pain. Acad Emerg Med 2005;12:26-31. (Pubitemid 40038635)
5. Walker NJ, Sites FD, Shofer FS, et al. Characteristics and outcomes of young adults who present to the emergency department with chest pain. Acad Emerg Med 2001;8:703-8. (Pubitemid 32622510)
6. Hermann LK, Weingart SD, Duvall WL, Henzlova MJ. The limited utility of routine cardiac stress testing in emergency department chest pain patients younger than 40 years. Ann Emerg Med 2009;54: 12-6.
7. Ammann P, Brunner-La Rocca HP, Angehrn W, et al. Procedural complications following diagnostic coronary angiography are related to the operator's experience and the catheter size. Catheter Cardiovasc Interv 2003;59:13-8. (Pubitemid 36528791)
8. Pollack Jr CV, Sites FD, Shofer FS, Sease KL, Hollander JE. Application of the TIMI risk score for unstable angina and non-ST elevation acute coronary syndrome to an unselected emergency department chest pain population. Acad Emerg Med 2006;13:13-8. (Pubitemid 41827288)
9. Chase M, Robey JL, Zogby KE, Sease KL, Shofer FS, Hollander JE. Prospective validation of the TIMI risk score in the emergency department chest pain patient population. Ann Emerg Med 2006;48: 252-9. (Pubitemid 44278307)
10. Hollander JE, Robey JL, Chase M, Brown AM, Zogby KE, Shofer FS. Relationship between a clear-cut alternative noncardiac diagnosis and 30 day outcome in emergency department patients with chest pain. Acad Emerg Med 2007;14:210-5. (Pubitemid 46274410)
11. Chang AM, Shofer FS, Tabas JA, Magid DJ, McCusker CM, Hollander JE. Lack of association between left bundle branch block and acute myocardial infarction in symptomatic ED patients. Am J Emerg Med 2009;27:916-21.
12. Pines JM, Pollack Jr CV, Diercks DB, Chang AM, Shofer FS, Hollander JE. The association between emergency department crowding and adverse cardiovascular outcomes in patients with chest pain. Acad Emerg Med 2009;16:617-25.
13. Hollander JE, Blomkalns AL, Brogan GX, et al. Standardized reporting guidelines for studies evaluated risk stratification of ED patients with potential acute coronary syndromes. Ann Emerg Med 2004;44:589-98. (Pubitemid 39573176)
14. Dawson M, Youngquist S, Bledsoe J, et al. Low-risk young adult patients with chest pain may not benefit from routine cardiac stress testing: a Bayesian analysis. Crit Pathw Cardiol 2010;9:170-3.
15. Kogan A, Shapira R, Lewis BS, Tamir A, Rennert G. The use of exercise stress testing for the management of low-risk patients with chest pain. Am J Emerg Med 2009;27:889-92.
16. Amsterdam EA, Kirk JD, Bluemke DA, et al, On behalf of the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology, Council on Cardiovascular Nursing, and Interdisciplinary Council on Quality of Care and Outcomes Research. Testing of low-risk patients presenting to the emergency department with chest pain: a scientific statement from the American Heart Association. Circulation 2010;122: 756-76