September 23, 2017 |
Evaluating Adverse Cardiac Events in Patients with Chest Pain at Hospital Admission
May 15, 2015  | 

Chicago, Il - Patients with chest pain who are admitted to the hospital after an emergency department evaluation with negative findings and nonconcerning vital signs rarely had adverse cardiac events, suggesting that routine inpatient admission may not be a beneficial strategy for this group of patients, according to an article published online by JAMA Internal Medicine.

Patients with potentially ischemic (restricted blood flow) chest pain are commonly admitted to the hospital or observed after a negative evaluation in the emergency department because of concern about adverse events. But no large studies have examined the short-term risk for a clinically relevant adverse cardiac event, including inpatient ST-segment elevation myocardial infarction (heart attack), life-threatening arrhythmia (abnormal heartbeat), cardiac or respiratory arrest, or death, according to the study. 

Michael B. Weinstock, M.D., of Ohio State University, Columbus, and Mount Carmel St. Ann’s Hospital, Westerville, and coauthors reviewed data from adult patients who were admitted to the hospital or observed after presenting with chest pain, chest tightness, chest burning or chest pressure and with negative findings for serial biomarkers. Data were collected from emergency departments at three community teaching hospitals and the primary outcome measurement was a composite of life-threatening arrhythmia, inpatient ST-segment elevation myocardial infarction, cardiac or respiratory arrest, or death.  Continue>

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