Chest Pain

Patients who underwent noninvasive diagnostic testing after evaluation for chest pain in the ED had a lower observed rate of CV death or MI, according to a retrospective cohort study published in the Journal of the American Heart Association.

NEW ORLEANS — A six-step initiative embedded in electronic health records dropped the percentage of low-probability cardiology referrals among pediatric patients with chest pain to zero, according to a study presented at the AAP National Conference & Exhibition.

The beneficial effect of a coronary CT angiography-based strategy on clinical outcomes compared with standard care in patients with chest pain was consistent across subgroups, and the benefit chiefly occurs because of preventive treatments given to those with stable CAD, according to new data from the SCOT-HEART study.

PARIS — Risk stratification thresholds for high-sensitivity cardiac troponin I were able to safely and effectively identify patients with ACS and at least 2 hours of symptoms as low risk regardless of sex and age, according to data from the HiSTORIC trial presented at the European Society of Cardiology Congress.

Comparison of MR perfusion imaging to coronary angiography to measure fractional flow reserve in patients with stable chest pain.

Here is a case I will never forget. A 45-year-old man with no reported prior medical history comes into the emergency department screaming of excruciating acute-onset substernal chest pains 20 minutes prior to arrival.