Why the study?
The study evaluated ACS risk in emergency department patients with chest pain based on previous coronary angiography findings and recent cardiology evaluations.
Does a history of significant coronary angiography findings or a positive recent cardiology evaluation predict short-term major adverse cardiac events in patients presenting to the emergency department with chest pain?
Observational (n=159)
No
Does a history of significant coronary angiography findings or a positive recent cardiology evaluation predict short-term major adverse cardiac events in patients presenting to the emergency department with chest pain?
Recent clinical cardiology evaluations, rather than static prior angiographic findings, are significant predictors of short-term major adverse cardiac events in patients presenting to the emergency department with chest pain.
Recent cardiology evaluations may better identify ED chest pain patients at risk for MACE than prior angiography; supports preference for dynamic over static risk assessment.
Objective: We aimed to evaluate patients presenting to the emergency department with chest pain in terms of acute coronary syndrome (ACS) risk based on previous coronary angiography (CAG) findings and recent cardiology evaluations.Material and Method: Patients presenting with chest pain were prospectively evaluated and categorized according to the development of major adverse cardiac events (MACE). Prior angiographic findings and recent cardiology evaluations were analyzed for their association with short-term outcomes.Results: A total of 159 patients were included. When patients with and without MACE were compared in terms of significant CAG findings within the last year, no statistically significant difference was observed between the groups (p = 0.576). However, coronary artery disease risk identified during recent cardiology evaluations was significantly higher in patients who developed MACE compared with those who did not (p = 0.022).Conclusion: Prior angiographic stenosis alone does not appear to predict acute adverse cardiac events in emergency presentations. However, recent cardiology evaluations identifying coronary risk may provide more meaningful insight into short-term clinical outcomes.
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Demiryürek et al. (2026) conducted an observational in Chest pain / Acute Coronary Syndrome (n=159). Recent cardiology evaluation identifying coronary risk vs. No recent coronary risk identified was evaluated on Major adverse cardiac events (MACE) (p=0.022).
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