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Cardiovascular Toxicology : Volume 1, Issue 1, March 2001

Markers and the initial triage and treatment of patients with chest pain

Content Provider	Springer Nature Link
Author	Blomkalns, Andra L. Gibler, W. Brian
Copyright Year	2001
Abstract	Emergency departments evaluate nearly 8 million patients with chest pain per year. Nearly 4 million of these individuals are admitted to inpatient units for further evaluation and treatment, but only 30% of these admitted patients ultimately have the diagnosis of acute coronary syndrome (ACS). Previously, the initial evaluation of patients with chest discomfort presenting to the emergency department (ED) involved the triad of history, physical, and ECG. Current evidence demonstrates that a fourth element, cardiac markers, serves as a valuable aid in not only determining initial diagnosis but also providing risk stratification and dictating initial patient treatment.Chest pain units (CPUs) using serial marker determinations have been successful in identifying patients with or at risk for adverse cardiac events in a timely and cost-efficient manner. New point-of-care-testing (POCT) of cardiac markers at the patient's bedside allows for even more timely determination.This article will review the use of cardiac markers in heterogenous patients presenting to EDs with chest discomfort. We will focus on the use of markers in the risk stratification and initial treatment of the ED chest pain population and emphasize the role of CPUs and POCT.
Starting Page	111
Ending Page	115
Page Count	5
File Format	PDF
ISSN	15307905
Journal	Cardiovascular Toxicology
Volume Number	1
Issue Number	2
e-ISSN	15590259
Language	English
Publisher	Humana Press
Publisher Date	2001-01-01
Publisher Place	Totowa
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Cardiac markers risk stratification chest pain unit (CPU) point-of-care-testing (POCT) acute coronary syndrome (ACS) Pharmacology/Toxicology Cardiology
Content Type	Text
Resource Type	Article
Subject	Molecular Biology Toxicology Cardiology and Cardiovascular Medicine

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