title: Identification of high-risk patients with acute coronary syndrome using point-of-care echocardiography in the ED.
abstract: Stratifying risk of patients with acute coronary syndrome (ACS) in the emergency department (ED) remains a frequent challenge. When ST-elevation criteria are absent, current recommendations rely upon insensitive and time-intensive methods such as the electrocardiogram and cardiac enzyme testing. Here, we report on a series of cases, where emergency physicians used a simplified model for identifying regional wall motion abnormalities by point-of-care echocardiography in patients presenting with chest pain to the ED. With the use of a simplified model described herein, high-risk patients with ACS were identified rapidly in a cohort usually difficult to risk stratify.
authors.affiliation: Department of Emergency Medicine, Alameda Health System-Highland General Hospital, Oakland, CA. Electronic address: oron.frenkel@gmail.com.
authors.forename: Oron
authors.initials: O
authors.lastname: Frenkel
authors.affiliation: Department of Emergency Medicine, Alameda Health System-Highland General Hospital, Oakland, CA.
authors.forename: Christine
authors.initials: C
authors.lastname: Riguzzi
authors.affiliation: Department of Emergency Medicine, Alameda Health System-Highland General Hospital, Oakland, CA; University of California, San Francisco, CA.
authors.forename: Arun
authors.initials: A
authors.lastname: Nagdev
mesh_terms: D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging* / Q000503:physiopathology; D000328:Adult; D004452:Echocardiography; D004562:Electrocardiography; D004636:Emergency Service, Hospital; D006321:Heart / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D019095:Point-of-Care Systems; D011446:Prospective Studies; D012307:Risk Factors