Key result
Four or more annual ED chest pain visits are linked to ~0% AMI prevalence.
Why the study?
Chest pain accounts for up to 8% of emergency department visits and can indicate acute myocardial infarction, but causes in repeat visitors were not well evaluated.
Cohort (n=128)
No
Answers are grounded in this paper and cite their sources.
Frequent ED chest pain visitors may carry low acute risk; leaves open whether reduced testing protocols are safe and requires prospective validation.
Chest pain is responsible for up to 8% of all emergency department (ED) visits. It is a symptom of potentially harmful diseases including acute myocardial infarction (AMI). The aim of this study was to evaluate the prevalence of AMI and other causes of chest pain in repeated ED visitors with chest pain.
No takes yet. Share an insight, caveat, or question.
Slankamenac et al. (2020) conducted a cohort in Chest pain (n=128). Repeated ED visits (≥ 4 visits/year for chest pain) vs. 2-3 ED visits/year for chest pain was evaluated on Prevalence of acute myocardial infarction (AMI). Repeated emergency department visitors with chest pain (≥4 visits/year) had a 0% prevalence of acute myocardial infarction, compared to a 19.8% prevalence in those with 2-3 visits/year.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: