Key result
Joint emergency medicine and cardiology management of low-risk chest pain patients was safe, with a 30-day major adverse cardiovascular event rate of 0.09% (95% CI, 0-0.3%).
Why the study?
Does joint emergency medicine and cardiology management with physician discretion for stress testing safely reduce stress test utilization in low-risk emergency department chest pain unit patients?
Observational (n=1,063)
Does joint emergency medicine and cardiology management with physician discretion for stress testing safely reduce stress test utilization in low-risk emergency department chest pain unit patients?
Joint emergency medicine and cardiology management with physician discretion for stress testing in a chest pain unit is safe and may significantly reduce stress test utilization compared to historical rates.
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Supports safety of joint management in observational data; hypothesis-generating for reduced stress testing pending RCTs.
Napoli et al. (2012) conducted an observational in Chest pain (n=1,063). Joint emergency medicine and cardiology management within a chest pain unit protocol was evaluated on 30-day major adverse cardiovascular events (death, nonfatal acute myocardial infarction, revascularization, or out-of-hospital cardiac arrest) (95% CI 0-0.3). Joint emergency medicine and cardiology management of low-risk chest pain patients was safe, with a 30-day major adverse cardiovascular event rate of 0.09% (95% CI, 0-0.3%).
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