title: Chest pain evaluation in the emergency department.
abstract: Chest pain is a common complaint in the emergency department. Recognition of chest pain symptoms and electrocardiographic changes consistent with acute coronary syndrome (ACS) can lead to prompt initiation of goal-directed therapy. Cardiac troponin testing confirms the diagnosis of acute myocardial infarction, but does not reveal the mechanism of injury. When patients with chest pain rule out for ACS the use of advanced, noninvasive testing has not been found to be associated with better patient outcomes.
authors.affiliation: Division of Cardiology, Heart and Vascular Institute, Milton S. Hershey Medical Center, Penn State University, 500 University Drive, Hershey, PA 17033, USA.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Foy
authors.affiliation: Department of Emergency Medicine, Cooper Medical School of Rowan University, One Cooper Plaza, Camden, NJ 08103, USA. Electronic address: filippone-lisa@cooperhealth.edu.
authors.forename: Lisa
authors.initials: L
authors.lastname: Filippone
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis*; D000208:Acute Disease; D015415:Biomarkers; D002637:Chest Pain / Q000209:etiology*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D004636:Emergency Service, Hospital; D006801:Humans; D008487:Medical History Taking; D009203:Myocardial Infarction / Q000175:diagnosis*; D010808:Physical Examination; D012307:Risk Factors; D020107:Troponin T / Q000097:blood
chemical_list: D015415:Biomarkers; D020107:Troponin T
keywords: Acute coronary syndrome; Chest pain; Myocardial infarction