Why the study?
Does a dedicated chest pain clinic improve the diagnosis and management of patients with recent onset chest pain compared to routine electrocardiogram reporting?
Population
250 consecutive patients with recent onset chest pain seen within 24 hours of general practitioner referral…
Design
Cohort
Authors
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Normal ECG misses unstable angina or significant CAD in recent chest pain; supports specialized clinics yet leaves open randomized confirmation.
Does a dedicated chest pain clinic improve the diagnosis and management of patients with recent onset chest pain compared to routine electrocardiogram reporting?
A dedicated chest pain clinic provides significant diagnostic value over routine ECG, as many patients with normal resting ECGs have significant coronary disease requiring intervention.
Norell et al. (1992) studied this question.
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