Short Stay Management of Chest Pain (Contemporary Cardiology)

Epidemiology and demography of coronary artery disease / S. Dadkhah and K. Sharain Financial impact of acute coronary syndromes: The need for new care delivery models / S. Sieck Why have a chest pain unit? / A. Annathurai and M.A. Ross Pathophysiology and definition of the acute coronary syndromes / E.A. Amsterdam, D. Diercks and J.D. Kirk Emergency department presentation / J.A. Holmes and S. Collins Risk stratification: History, physical, and EKG / A.B. Storrow, I. McClure and E. Harbison Cardiac markers: A chest pain center focus / R.H. Christenson Risk stratification using scoring systems / J.E. Hollander and A.M. Chang Emergency department disposition of patients presenting with chest pain / K. Owen and D.B. Diercks Short-stay unit requirements / L. Graff and iv Medical therapy in patients managed in a chest pain observation unit / J. McCord Provocative testing / J.D. Kirk, M.C. Kontos and E.A. Amsterdam Use of multislice CT and MRI for the evaluation of patients with chest pain / B. O'Neil, M.J. Gallagher and G.L. Raff Disposition from the short stay unit / C.A. Ghaemmaghami and W.J. Brady Examples of patient discharge instructions, ACS rule out protocols, and order sheets / K.S. Holmes. Front Matter....Pages i-xii Epidemiology and Demography of Coronary Artery Disease....Pages 1-13 Financial Impact of Acute Coronary Syndromes: The Need for New Care Delivery Models....Pages 15-35 Why Have a Chest Pain Unit?....Pages 37-54 Pathophysiology and Definition of the Acute Coronary Syndromes....Pages 55-65 Emergency Department Presentation....Pages 67-78 Risk Stratification: History, Physical, and EKG....Pages 79-90 Cardiac Markers: A Chest Pain Center Focus....Pages 91-113 Risk Stratification Using Scoring Systems....Pages 115-124 Emergency Department Disposition of Patients Presenting with Chest Pain....Pages 125-141 Short-Stay Unit Requirements....Pages 143-145 Medical Therapy in Patients Managed in a Chest Pain Observation Unit....Pages 147-153 Provocative Testing....Pages 155-184 Use of Multislice CT and MRI for the Evaluation of Patients with Chest Pain....Pages 185-203 Disposition from the Short Stay Unit....Pages 205-217 Examples of Patient Discharge Instructions, ACS Rule Out Protocols, and Order Sheets....Pages 219-262 Back Matter....Pages 263-271

Acute coronary syndrome (ACS) continues to challenge our health care system in the complexity of presentation and the ever increasing number of patients exhibiting signs and symptoms of an acute coronary syndrome. Written by leading experts, Short Stay Management of Chest Pain provides scientific and clinical insights on the management of patients who arrive at the hospital with a presentation consistent with a potential acute coronary syndrome. Focusing on the cardiology aspects of chest pain, Short Stay Management of Chest Pain is a valuable tool for acute care physicians, nurses, and hospital administrators devoted to caring for this population. Short Stay Management of Chest Pain details the remarkable improvements in diagnostic accuracy and improved patient outcomes for patients presenting with suspected acute coronary syndromes.

Acute coronary syndrome (ACS) continues to challenge our health care system. This book provides scientific and clinical insights on the management of patients who arrive at the hospital with a presentation consistent with a potential acute coronary syndrome.