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Chest pain in the emergency department - risk assessment, diagnostics, and outcomes

Nilsson, Tsvetelina Nikolova LU (2025) In Lund University, Faculty of Medicine Doctoral Dissertation Series
Abstract
Chest pain is one of the most common reasons for emergency department (ED) visits. Extensive diagnostic testing is often performed to identify acute coronary syndrome (ACS), but only about 10% of patients ultimately receive an ACS diagnosis. These diagnostic processes are costly, time-consuming, and sometimes invasive, carrying inherent risks. Additionally, most patients with suspected ACS are admitted to the cardiac care unit (CCU) out of concern for serious complications, despite the high costs
and limited availability of hospital beds. This highlights the urgent need for improved risk stratification. The aim of this thesis is to explore novel strategies for enhancing risk assessment and diagnostics in ED chest pain patients to... (More)
Chest pain is one of the most common reasons for emergency department (ED) visits. Extensive diagnostic testing is often performed to identify acute coronary syndrome (ACS), but only about 10% of patients ultimately receive an ACS diagnosis. These diagnostic processes are costly, time-consuming, and sometimes invasive, carrying inherent risks. Additionally, most patients with suspected ACS are admitted to the cardiac care unit (CCU) out of concern for serious complications, despite the high costs
and limited availability of hospital beds. This highlights the urgent need for improved risk stratification. The aim of this thesis is to explore novel strategies for enhancing risk assessment and diagnostics in ED chest pain patients to improve patient outcomes and optimize resource utilization. (Less)
Please use this url to cite or link to this publication:
author
supervisor
opponent
  • Professor, MD, PhD Kahan, Thomas, Karolinska Institute, Department of Clinical Sciences, Danderyd Hospital, Division of Cardiovascular Medicine
organization
publishing date
type
Thesis
publication status
published
subject
keywords
Chest pain, Risk stratification, Outcomes, Emergency Department, Acute coronary syndrome (ACS), Complications
in
Lund University, Faculty of Medicine Doctoral Dissertation Series
issue
2025:45
pages
98 pages
publisher
Lund University, Faculty of Medicine
defense location
Föreläsningssal 5, Centralblocket, Entrégatan 7, Skånes Universitetssjukhus i Lund. Join by Zoom: https://lu-se.zoom.us/s/65213624098
defense date
2025-05-08 13:00:00
ISSN
1652-8220
ISBN
978-91-8021-698-2
language
English
LU publication?
yes
id
eb429bd3-f6eb-4925-830d-db17f12f51c6
date added to LUP
2025-04-09 16:27:57
date last changed
2025-06-16 08:29:06
@phdthesis{eb429bd3-f6eb-4925-830d-db17f12f51c6,
  abstract     = {{Chest pain is one of the most common reasons for emergency department (ED) visits. Extensive diagnostic testing is often performed to identify acute coronary syndrome (ACS), but only about 10% of patients ultimately receive an ACS diagnosis. These diagnostic processes are costly, time-consuming, and sometimes invasive, carrying inherent risks. Additionally, most patients with suspected ACS are admitted to the cardiac care unit (CCU) out of concern for serious complications, despite the high costs<br/>and limited availability of hospital beds. This highlights the urgent need for improved risk stratification. The aim of this thesis is to explore novel strategies for enhancing risk assessment and diagnostics in ED chest pain patients to improve patient outcomes and optimize resource utilization.}},
  author       = {{Nilsson, Tsvetelina Nikolova}},
  isbn         = {{978-91-8021-698-2}},
  issn         = {{1652-8220}},
  keywords     = {{Chest pain; Risk stratification; Outcomes; Emergency Department; Acute coronary syndrome (ACS); Complications}},
  language     = {{eng}},
  number       = {{2025:45}},
  publisher    = {{Lund University, Faculty of Medicine}},
  school       = {{Lund University}},
  series       = {{Lund University, Faculty of Medicine Doctoral Dissertation Series}},
  title        = {{Chest pain in the emergency department - risk assessment, diagnostics, and outcomes}},
  url          = {{https://lup.lub.lu.se/search/files/216704134/Thesis_Tsvetelina_Nilsson_LUCRIS.pdf}},
  year         = {{2025}},
}