Tag: chest pain
Coronary CT angiography superior to functional stress testing among diabetic patients
Jalal Ebrahim -0
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...
Cardiovascular testing after emergency department presentation may not reduce risk of myocardial infarction
Shayna Bejaimal, MD -
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...
Using HEART score to risk stratify patients with chest pain is safe but underutilized in the ED
Deepti Shroff Karhade -
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...
Chest pain may be better than EKG, echo for predicting coronary artery disease prognosis
Anees Daud, MD -
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...
Younger women more likely than men to present with acute coronary syndrome without chest pain
2 Minute Medicine -
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...