Current guideline-based assessment of possible ACS in the ED is lengthy and costly, highlighting the need for strategies to shorten the process for intermediate-risk patients.
Most ED patients with symptoms of possible ACS do not have a cardiac cause for their presentation. The current guideline-based process of assessment is lengthy, costly and consumes significant resources. Investigation of strategies to shorten this process or reduce the need for objective cardiac testing in patients at intermediate risk according to the National Heart Foundation and Cardiac Society of Australia and New Zealand guideline is required.
Cullen et al. (Fri,) studied this question.
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