Performance of the EDACS-accelerated diagnostic pathway in a cohort of US patients with acute chest pain

Critical Pathways in Cardiology

Volumn 14, Issue 4, 2015, Pages 134-138

  Stopyra, Jason P ^a   Miller, Chadwick D ^a   Hiestand, Brian C ^a   Lefebvre, Cedric W ^a   Nicks, Bret A ^a   Cline, David M ^a   Askew, Kim L ^a   Riley, Robert F ^b   Russell, Gregory B ^a   Hoekstra, James W ^a   Mahler, Simon A ^a  

^a WAKE FOREST SCHOOL OF MEDICINE   (United States)

^b Division of Pediatric Cardiology   (United States)

Author keywords

Acute coronary syndrome; Chest pain; Decision AIDS

Indexed keywords

TROPONIN;

ACUTE CORONARY SYNDROME; ADULT; AGED; ARTICLE; CARDIAC PATIENT; CARDIOVASCULAR DISEASE ASSESSMENT; CARDIOVASCULAR RISK; CLINICAL ASSESSMENT TOOL; CLINICAL DECISION MAKING; COHORT ANALYSIS; DIAGNOSTIC TEST ACCURACY STUDY; DOUBLE BLIND PROCEDURE; ELECTROCARDIOGRAM; EMERGENCY DEPARTMENT ASSESSMENT OF CHEST PAIN SCORE ACCELERATED DIAGNOSTIC PROTOCOL; EMERGENCY PATIENT; EMERGENCY WARD; FEMALE; HEART DEATH; HEART DISEASE; HEART INFARCTION; HEART MUSCLE REVASCULARIZATION; HIGH RISK PATIENT; HOSPITAL DISCHARGE; HUMAN; LOW RISK PATIENT; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; PATIENT IDENTIFICATION; PREDICTIVE VALUE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL (TOPIC); RISK ASSESSMENT; SECONDARY ANALYSIS; SENSITIVITY AND SPECIFICITY; THORAX PAIN; UNITED STATES; VALIDATION STUDY; VERY ELDERLY; BLOOD; CHEST PAIN; CLINICAL PATHWAY; COMPLICATION; DEATH; DECISION SUPPORT SYSTEM; ELECTROCARDIOGRAPHY; HOSPITAL EMERGENCY SERVICE; MYOCARDIAL INFARCTION; STATISTICS AND NUMERICAL DATA;

ACUTE CORONARY SYNDROME; ADULT; AGED; CHEST PAIN; COHORT STUDIES; CRITICAL PATHWAYS; DEATH; DECISION SUPPORT TECHNIQUES; ELECTROCARDIOGRAPHY; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; MYOCARDIAL REVASCULARIZATION; TROPONIN; UNITED STATES;

EID: 84947733993     PISSN: 1535282X     EISSN: 15352811     Source Type: Journal    
DOI: 10.1097/HPC.0000000000000059     Document Type: Article

References (23)

1. 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;54:12-16.
2. Redberg RF. Coronary CT angiography for acute chest pain. N Engl J Med. 2012;367:375-376.
3. Than M, Herbert M, Flaws D, et al. What is an acceptable risk of major adverse cardiac event in chest pain patients soon after discharge from the emergency Ddepartment?: a clinical survey. Int J Cardiol. 2013;166:752-754.
4. Mahler SA, Riley RF, Hiestand BC, et al. The HEART pathway randomized trial: identifying emergency department patients with acute chest pain for early discharge. Circ Cardiovas Qual Outcomes. 2015;8:195-203.
5. Hollander JE, Blomkalns AL, Brogan GX, et al. Standardized reporting guidelines for studies evaluating risk stratification of emergency department patients with potential acute coronary syndromes. Ann Emerg Med. 2004;44: 589-598.
6. Cannon CP, Battler A, Brindis RG, et al. American College of Cardiology key data elements and definitions for measuring the clinical management and outcomes of patients with acute coronary syndromes: a report of the American College of Cardiology Task Force on Clinical Data Standards (Acute Coronary Syndromes Writing Committee) Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation, American College of Emergency Physicians, American Heart Association, Cardiac Society of Australia & New Zealand, National Heart Foundation of Australia, Society for Cardiac Angiography and Interventions, and the Taiwan Society of Cardiology. J Am Coll Cardiol. 2001;38:2114-2130.
7. Kline JA, Mitchell AM, Runyon MS, et al. Electronic medical record review as a surrogate to telephone follow-up to establish outcome for diagnostic research studies in the emergency department. Acad Emerg Med. 2005;12:1127-1133.
8. Hollander JE, Blomkalns AL, Brogan GX, et al. Standardized reporting guidelines for studies evaluating risk stratification of ED patients with potential acute coronary syndromes. Acad Emerg Med. 2004;11:1331-40.
9. Cannon CP, Battler A, Brindis RG, et al. American College of Cardiology key data elements and definitions for measuring the clinical management and outcomes of patients with acute coronary syndromes. A report of the American College of Cardiology Task Force on Clinical Data Standards (Acute Coronary Syndromes Writing Committee). J Am Coll Cardiol. 2001;38:2114-2130.
10. Thygesen K, Alpert JS, White HD, et al. Universal definition of myocardial infarction. Circulation. 2007;116:2634-53.
11. Hess EP, Brison RJ, Perry JJ, et al. Development of a clinical prediction rule for 30-day cardiac events in emergency department patients with chest pain and possible acute coronary syndrome. Ann Emerg Med. 2012;59:115-25.e1.
12. Mahler SA, Hiestand BC, Goff DC Jr, et al. Can the HEART score safely reduce stress testing and cardiac imaging in patients at low risk for major adverse cardiac events? Crit Pathw Cardiol. 2011;10:128-133.
13. Mahler SA, Miller CD, Hollander JE, et al. Identifying patients for early discharge: performance of decision rules among patients with acute chest pain. Int J Cardiol. 2013;168:795-802.
14. Fu Y, Chang WC, Mark D, et al. Canadian-American differences in the management of acute coronary syndromes in the GUSTO IIb trial: one-year follow-up of patients without ST-segment elevation. Global Use of Strategies to Open Occluded Coronary Arteries (GUSTO) II Investigators. Circulation. 2000;102:1375-1381.
15. Kaul P, Chang WC, Lincoff AM, et al. Optimizing use of revascularization and clinical outcomes in ST-elevation myocardial infarction: insights from the GUSTO-V trial. Eur Heart J. 2006;27:1198-1206.
16. Cullen L, Mueller C, Parsonage WA, et al. Validation of high-sensitivity troponin I in a 2-hour diagnostic strategy to assess 30-day outcomes in emergency department patients with possible acute coronary syndrome. J Am Coll Cardiol. 2013;62:1242-1249.
17. Simoons ML, Windecker S. Controversies in cardiovascular medicine: chronic stable coronary artery disease: drugs vs. revascularization. Eur Heart J. 2010;31:530-541.
18. Boden WE, O'Rourke RA, Teo KK, et al. Optimal medical therapy with or without PCI for stable coronary disease. N Engl J Med. 2007;356:1503-1516.
19. Katritsis DG, Ioannidis JP. PCI for stable coronary disease. N Engl J Med. 2007;357:414-415; author reply 417.
20. Katritsis DG, Ioannidis JP. Percutaneous coronary intervention versus conservative therapy in nonacute coronary artery disease: a meta-analysis. Circulation. 2005;111:2906-2912.
21. Bucher HC, Hengstler P, Schindler C, Guyatt GH. Percutaneous transluminal coronary angioplasty versus medical treatment for non-acute coronary heart disease: meta-analysis of randomised controlled trials. BMJ. 2000;321: 73-77.
22. Storrow AB, Nowak RM, Diercks DB, et al. Absolute and relative changes (delta) in troponin I for early diagnosis of myocardial infarction: results of a prospective multicenter trial. Clin Biochem. 2015;48:260-267.
23. Storrow AB, Christenson RH, Nowak RM, et al. Diagnostic performance of cardiac troponin I for early rule-in and rule-out of acute myocardial infarction: results of a prospective multicenter trial. Clin Biochem. 2015;48:254-259.