Why the study?
Early identification of life-threatening causes and prompt treatment of chest pain remain a clinical challenge despite a high volume of primary care and emergency department encounters.
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The use of validated clinical decision tools like the Marburg Heart Score and HEART score can effectively risk-stratify patients presenting with chest pain, safely identifying those at low risk for acute coronary syndrome and reducing unnecessary testing.
O ne of the most concerning and challenging patient complaints presented to physicians is chest pain. Chest pain is a ubiquitous complaint in primary care settings and in the emergency department (ED), accounting for 8 million ED visits and 0.4% of all primary care visits in North America annually. 1,2 Despite the great number of chest-pain encounters, early identification of life-threatening causes and prompt treatment remain a challenge. In this article, we examine how the approach to a complaint of chest pain in a primary care practice (and, likewise, in the ED) must first, rest on the clinical evaluation and second, employ risk-stratification tools to aid in evaluation, appropriate diagnosis, triage, and treatment.
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。 Lam (2021) studied this question.
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