title: Emergency department evaluation of the chest pain patient.
abstract: The emergency physician must have a high degree of suspicion for myocardial ischemia in patients presenting with no obvious for their chest pain. The role of the emergency physician is to determine a relative risk for each patient and to order the appropriate studies to minimize the risk of missed myocardial infarction as well as to recognize acute ischemia or infarction and manage it aggressively. It is not possible to rule out myocardial ischemia or infarction subjectively. It is the opinion of these authors that some form of further testing should be performed on patients in all categories, except those determined to be at very low risk.
authors.affiliation: Department of Emergency Medicine, Vanderbilt University Hospital, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
authors.forename: I D
authors.initials: ID
authors.lastname: Jones
authors.forename: C M
authors.initials: CM
authors.lastname: Slovis
mesh_terms: D000328:Adult; D000367:Age Factors; D000787:Angina Pectoris / Q000150:complications / Q000175:diagnosis*; D000818:Animals; D002637:Chest Pain / Q000188:drug therapy*; D003042:Cocaine / Q000009:adverse effects; D003937:Diagnosis, Differential; D018765:Dopamine Uptake Inhibitors / Q000009:adverse effects; D011307:Drug Prescriptions; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D008487:Medical History Taking; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis*; D017202:Myocardial Ischemia / Q000503:physiopathology; D010808:Physical Examination; D012307:Risk Factors; D012737:Sex Factors
chemical_list: D018765:Dopamine Uptake Inhibitors; D003042:Cocaine