Articles tagged "acute coronary syndrome"

A Negative High-Sensitivity Troponin and Reassuring EKG Can Rule out Acute MI

by Joseph Esherick, M.D., FAAFP, FHM

This meta-analysis demonstrates that a negative high-sensitivity cardiac troponin measured at least 3 hours after symptom onset in association with an EKG with no evidence of ischemia or injury can effectively rule out an acute myocardial infarction (AMI).

The Risk that Chest Pain Represents Acute Coronary Syndrome

by Joseph Esherick, M.D., FAAFP, FHM

Chest pain is a leading cause of ED admissions and hospital admissions. This meta-analysis isolates certain risk factors and prognostic scoring systems that are best at predicting whether chest pain represents ACS

Consensus Recommendations on Diagnostic Approach to Chest Pain in the Emergency Department

by Joseph Esherick, M.D., FAAFP, FHM

A multidisciplinary group from 13 major organizations provides consensus recommendations on the appropriate radiologic imaging guidelines for four clinical scenarios presenting as chest pain in the ED.