Why the study?
What is the risk of acute coronary syndromes and 30-day adverse cardiovascular events in young adults (<40 years old) presenting to the emergency department with chest pain?
Population
487 non-cocaine-using emergency department patients, 24-39 years old, who received an ECG for chest pain.
Design
Cohort
Follow-up
30 days
Authors
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May support outpatient evaluation in low-risk young adults; hypothesis-generating and requires prospective validation.
What is the risk of acute coronary syndromes and 30-day adverse cardiovascular events in young adults (<40 years old) presenting to the emergency department with chest pain?
Young adults presenting to the emergency department with chest pain who lack cardiac risk factors or a prior cardiac history have an extremely low risk (<1%) of ACS and 30-day adverse cardiovascular events, suggesting they may be safely managed as outpatients.
Walker et al. (2001) studied this question.
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