Tag: chest pain

1. In this randomized trial, diabetic patients with stable chest pain randomized to coronary computed tomographic angiography (CTA) had lower rates of cardiovascular death and myocardial infarction than those randomized to functional stress testing. 2. This benefit of the coronary CTA was not seen in nondiabetic patients. Evidence Rating Level: 1...
1. Based on this retrospective cohort study, noninvasive testing done within 30 days of patient presentation with chest pain at the emergency department reduced the amount of coronary angiography and revascularization done at 1 year. 2. Noninvasive testing, however, did not reduce risk of acute myocardial infarction admission at one...
1. The findings of this cluster randomized trial suggest that it is safe to use the HEART score during initial assessment of chest pain patients in the emergency department (ED). 2. Using the HEART score did not result in statistically significant differences in early discharge, readmissions, or recurrent ED visits. Evidence...
1. Based on insurance claims data from emergency departments visits for chest pain, patients who did not undergo any testing for their complaint of chest pain had no more hospitalizations for myocardial infarctions compared to the patients who did undergo noninvasive cardiac testing. 2. However, those patients who underwent noninvasive...
1. Among patients with stable coronary artery disease in the outpatient setting, the presence of chest pain, known as angina, was a better predictor of cardiovascular mortality or myocardial infarctions compared to the presence of myocardial ischemia seen on noninvasive testing (stress electrocardiogram, stress echocardiogram, or nuclear imaging).  2. As...
Image: PD  1. Over 80% of younger patients (<55 years old) with acute coronary syndrome (ACS) reported chest pain, which is higher than the percentage of ACS in older populations presenting with chest pain.  2. Among a cohort of ACS patients, women were more likely to present without chest pain in...
Image: PD  1. In the investigating the effectiveness of a diagnostic algorithm for pediatric chest pain, only minimal deviations from guidelines were noted between  Boston Children’s Hospital and participating New England area providers.  2. Chest pain in children was rarely attributable to heart disease as only 0.2% of patients were diagnosed...