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New methods for improved evaluation of patients with suspected acute coronary syndrome in the emergency department.

Ekelund, Ulf LU and Forberg, J L (2008) In Postgraduate Medical Journal 84(988). p.83-86
Abstract
This paper aims to identify and review new and unproven emergency department (ED) methods for improved evaluation in cases of suspected acute coronary syndrome (ACS). Systematic news coverage through PubMed from 2000 to 2006 identified papers on new methods for ED assessment of patients with suspected ACS. Articles found described decision support models, new ECG methods, new biomarkers and point-of-care testing, cardiac imaging, immediate exercise tests and the chest pain unit concept. None of these new methods is likely to be the perfect solution, and the best strategy today is therefore a combination of modern methods, where the optimal protocol depends on local resources and expertise. With a suitable combination of new methods, it is... (More)
This paper aims to identify and review new and unproven emergency department (ED) methods for improved evaluation in cases of suspected acute coronary syndrome (ACS). Systematic news coverage through PubMed from 2000 to 2006 identified papers on new methods for ED assessment of patients with suspected ACS. Articles found described decision support models, new ECG methods, new biomarkers and point-of-care testing, cardiac imaging, immediate exercise tests and the chest pain unit concept. None of these new methods is likely to be the perfect solution, and the best strategy today is therefore a combination of modern methods, where the optimal protocol depends on local resources and expertise. With a suitable combination of new methods, it is likely that more patients can be managed as outpatients, that length of stay can be shortened for those admitted, and that some patients with ACS can get earlier treatment. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Postgraduate Medical Journal
volume
84
issue
988
pages
83 - 86
publisher
BMJ Publishing Group
external identifiers
  • pmid:18322128
  • wos:000253818600006
  • scopus:36749072114
ISSN
1469-0756
DOI
10.1136/emj.2007.048249
language
English
LU publication?
yes
id
138ce6a4-9452-4b80-a8e4-68fe203a51ca (old id 1052774)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18322128?dopt=Abstract
date added to LUP
2008-04-01 11:14:25
date last changed
2017-01-01 07:38:22
@article{138ce6a4-9452-4b80-a8e4-68fe203a51ca,
  abstract     = {This paper aims to identify and review new and unproven emergency department (ED) methods for improved evaluation in cases of suspected acute coronary syndrome (ACS). Systematic news coverage through PubMed from 2000 to 2006 identified papers on new methods for ED assessment of patients with suspected ACS. Articles found described decision support models, new ECG methods, new biomarkers and point-of-care testing, cardiac imaging, immediate exercise tests and the chest pain unit concept. None of these new methods is likely to be the perfect solution, and the best strategy today is therefore a combination of modern methods, where the optimal protocol depends on local resources and expertise. With a suitable combination of new methods, it is likely that more patients can be managed as outpatients, that length of stay can be shortened for those admitted, and that some patients with ACS can get earlier treatment.},
  author       = {Ekelund, Ulf and Forberg, J L},
  issn         = {1469-0756},
  language     = {eng},
  number       = {988},
  pages        = {83--86},
  publisher    = {BMJ Publishing Group},
  series       = {Postgraduate Medical Journal},
  title        = {New methods for improved evaluation of patients with suspected acute coronary syndrome in the emergency department.},
  url          = {http://dx.doi.org/10.1136/emj.2007.048249 },
  volume       = {84},
  year         = {2008},
}