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Subpart IVA - Clinical – Cardiac

from Part IV - Clinical

Published online by Cambridge University Press:  31 March 2017

Sharon E. Mace
Affiliation:
Department of Emergency Medicine, Cleveland Clinic, Ohio
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Summary

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Type
Chapter
Information
Observation Medicine
Principles and Protocols
, pp. 98 - 137
Publisher: Cambridge University Press
Print publication year: 2017

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References

References

Bhuiya, FA, Pitts, SR, McCaig, LF. Emergency department visits for chest pain and abdominal pain: United States, 1999–2008. NCHS Data Brief. 2010 Sep;(43):1–8.Google Scholar
Nawar, EW, Niska, RW, Xu, J. National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary. Adv Data. 2007 Jun 29;(386):1–32.Google Scholar
Eslick, GD. Usefulness of chest pain character and location as diagnostic indicators of an acute coronary syndrome. Am J Cardiol. 2005 May 15;95 (10):12281231.CrossRefGoogle ScholarPubMed
Anderson, JL, Adams, CD, Antman, EM, et al. ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction) Developed in Collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine. J Am Coll Cardiol. 2007 Aug 14;50 (7):e1–157.CrossRefGoogle Scholar
Lee, TH, Rouan, GW, Weisberg, MC, et al. Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency room. Am J Cardiol. 1987 Aug 1;60 (4):219224.CrossRefGoogle ScholarPubMed
Body, R, Carley, S, Wibberley, C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010 Mar;81 (3):281286.CrossRefGoogle ScholarPubMed
Wright, RS, Anderson, JL, Adams, CD, et al. 2011 ACCF/AHA focused update incorporated into the ACC/AHA 2007 Guidelines for the Management of Patients with Unstable Angina/Non-ST-Elevation Myocardial Infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines developed in collaboration with the American Academy of Family Physicians, Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons. J Am Coll Cardiol. 2011 May 10;57 (19):e215–367.Google Scholar
Graff, LG, Dallara, J, Ross, MA, et al. Impact on the care of the emergency department chest pain patient from the chest pain evaluation registry (CHEPER) study. Am J Cardiol. 1997 Sep 1;80 (5):563568.CrossRefGoogle ScholarPubMed
Roberts, RR, Zalenski, RJ, Mensah, EK, et al. Costs of an emergency department-based accelerated diagnostic protocol vs hospitalization in patients with chest pain: a randomized controlled trial. JAMA. 1997 Nov 26;278 (20):16701676.CrossRefGoogle ScholarPubMed
Goodacre, S, Dixon, S. Is a chest pain observation unit likely to be cost effective at my hospital? Extrapolation of data from a randomised controlled trial. Emerg Med J. 2005 Jun;22 (6):418422.CrossRefGoogle ScholarPubMed
Goodacre, S, Nicholl, J, Dixon, S, et al. Randomised controlled trial and economic evaluation of a chest pain observation unit compared with routine care. BMJ. 2004 Jan 31;328 (7434):254.CrossRefGoogle ScholarPubMed
Miller, CD, Hwang, W, Hoekstra, JW, et al. Stress cardiac magnetic resonance imaging with observation unit care reduces cost for patients with emergent chest pain: a randomized trial. Ann Emerg Med. 2010 Sep;56 (3):209219 e2.CrossRefGoogle ScholarPubMed
Jagminas, L, Partridge, R. A comparison of emergency department versus inhospital chest pain observation units. Am J Emerg Med. 2005 Mar;23 (2):111113.CrossRefGoogle ScholarPubMed
Gomez, MA, Anderson, JL, Karagounis, LA, et al. An emergency department-based protocol for rapidly ruling out myocardial ischemia reduces hospital time and expense: results of a randomized study (ROMIO). J Am Coll Cardiol. 1996 Jul;28 (1):2533.CrossRefGoogle ScholarPubMed
Gaspoz, JM, Lee, TH, Weinstein, MC, et al. Cost-effectiveness of a new short-stay unit to “rule out” acute myocardial infarction in low risk patients. J Am Coll Cardiol. 1994 Nov 1;24 (5):12491259.CrossRefGoogle ScholarPubMed
Farkouh, ME, Smars, PA, Reeder, GS, et al. A Clinical Trial of a Chest-Pain Observation Unit for Patients with Unstable Angina. New England Journal of Medicine. 1998;339 (26):18821888.CrossRefGoogle ScholarPubMed
Cullen, MW, Reeder, GS, Farkouh, ME, et al. Outcomes in patients with chest pain evaluated in a chest pain unit: the chest pain evaluation in the emergency room study cohort. Am Heart J. 2011 May;161 (5):871877.CrossRefGoogle Scholar
de Araújo Gonçalves, P, Ferreira, J, Aguiar, C, et al. TIMI, PURSUIT, and GRACE risk scores: sustained prognostic value and interaction with revascularization in NSTE-ACS. European Heart Journal. 2005 May;26 (9):865872.CrossRefGoogle ScholarPubMed
Lee, B, Chang, AM, Matsuura, AC, et al. Comparison of cardiac risk scores in ED patients with potential acute coronary syndrome. Crit Pathw Cardiol. 2011 Jun;10 (2):6468.CrossRefGoogle ScholarPubMed
Venkatesh, AK, Geisler, BP, Gibson Chambers, JJ, et al. Use of observation care in US emergency departments, 2001 to 2008. PLoS One. 2011;6 (9):e24326.CrossRefGoogle ScholarPubMed
Grossman, SA, Shapiro, NI, Mottley, JL, et al. Is telemetry useful in evaluating chest pain patients in an observation unit? Intern Emerg Med. 2011 Dec;6 (6):543546.CrossRefGoogle Scholar
Nable, JV, Brady, W. The evolution of electrocardiographic changes in ST-segment elevation myocardial infarction. Am J Emerg Med. 2009 Jul;27 (6):734746.CrossRefGoogle ScholarPubMed
Pope, JH, Aufderheide, TP, Ruthazer, R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000 Apr 20;342 (16):11631170.CrossRefGoogle ScholarPubMed
Fesmire, FM, Percy, RF, Bardoner, JB, et al. Usefulness of automated serial 12-lead ECG monitoring during the initial emergency department evaluation of patients with chest pain. Ann Emerg Med. 1998 Jan;31 (1):311.CrossRefGoogle ScholarPubMed
Meune, C, Balmelli, C, Twerenbold, R, et al. Patients with acute coronary syndrome and normal high-sensitivity troponin. Am J Med. 2011 Dec;124 (12):11511157.CrossRefGoogle ScholarPubMed
Fesmire, FM, Decker, WW, Diercks, DB, et al. Clinical policy: critical issues in the evaluation and management of adult patients with non-ST-segment elevation acute coronary syndromes. Ann Emerg Med. 2006 Sep;48 (3):270301.CrossRefGoogle ScholarPubMed
Wu, AH, Apple, FS, Gibler, WB, et al. National Academy of Clinical Biochemistry Standards of Laboratory Practice: recommendations for the use of cardiac markers in coronary artery diseases. Clin Chem. 1999 Jul;45 (7):11041121.CrossRefGoogle ScholarPubMed
Pellikka, PA, Nagueh, SF, Elhendy, AA, et al. American Society of Echocardiography recommendations for performance, interpretation, and application of stress echocardiography. J Am Soc Echocardiogr. 2007 Sep;20 (9):10211041.CrossRefGoogle ScholarPubMed
Bluemke, DA, Achenbach, S, Budoff, M, et al. Noninvasive coronary artery imaging: magnetic resonance angiography and multidetector computed tomography angiography: a scientific statement from the american heart association committee on cardiovascular imaging and intervention of the council on cardiovascular radiology and intervention, and the councils on clinical cardiology and cardiovascular disease in the young. Circulation. 2008 Jul 29;118 (5):586606.CrossRefGoogle ScholarPubMed
Garber, AM, Solomon, NA. Cost-effectiveness of alternative test strategies for the diagnosis of coronary artery disease. Ann Intern Med. 1999 May 4;130 (9):719728.CrossRefGoogle ScholarPubMed
Kim, C, Kwok, YS, Heagerty, P, et al. Pharmacologic stress testing for coronary disease diagnosis: A meta-analysis. Am Heart J. 2001 Dec;142 (6):934944.CrossRefGoogle ScholarPubMed
Gianrossi, R, Detrano, R, Mulvihill, D, et al. Exercise-induced ST depression in the diagnosis of coronary artery disease. A meta-analysis. Circulation. 1989 Jul;80 (1):8798.CrossRefGoogle ScholarPubMed
Amini, B, Patel, CB, Lewin, MR, et al. Diagnostic nuclear medicine in the ED. Am J Emerg Med. 2011 Jan;29 (1):91101.CrossRefGoogle ScholarPubMed
Rahman, F, Mitra, B, Cameron, PA, et al. Stress testing before discharge is not required for patients with low and intermediate risk of acute coronary syndrome after emergency department short stay assessment. Emerg Med Australas. 2010 Oct;22 (5):449456.CrossRefGoogle Scholar
Kerns, JR, Shaub, TF, Fontanarosa, PB. Emergency cardiac stress testing in the evaluation of emergency department patients with atypical chest pain. Ann Emerg Med. 1993 May;22 (5):794798.CrossRefGoogle ScholarPubMed
Curzen, N, Patel, D, Clarke, D, et al. Women with chest pain: is exercise testing worthwhile? Heart. 1996 Aug;76 (2):156160.CrossRefGoogle ScholarPubMed
Hoffmann, U, Bamberg, F, Chae, CU, et al. Coronary computed tomography angiography for early triage of patients with acute chest pain: the ROMICAT (Rule Out Myocardial Infarction using Computer Assisted Tomography) trial. J Am Coll Cardiol. 2009 May 5;53 (18):16421650.CrossRefGoogle ScholarPubMed
Nagel, E, Lehmkuhl, HB, Bocksch, W, et al. Noninvasive diagnosis of ischemia-induced wall motion abnormalities with the use of high-dose dobutamine stress MRI: comparison with dobutamine stress echocardiography. Circulation. 1999 Feb 16;99 (6):763770.CrossRefGoogle ScholarPubMed
Hamon, M, Fau, G, Nee, G, et al. Meta-analysis of the diagnostic performance of stress perfusion cardiovascular magnetic resonance for detection of coronary artery disease. J Cardiovasc Magn Reson. 2010;12 (1):29.CrossRefGoogle ScholarPubMed
Cabello, JB, Burls, A, Emparanza, JI, et al. Oxygen therapy for acute myocardial infarction. Cochrane Database Syst Rev. 2010;(6):CD007160.CrossRefGoogle Scholar
Yusuf, S, Collins, R, MacMahon, S, et al. Effect of intravenous nitrates on mortality in acute myocardial infarction: an overview of the randomised trials. Lancet. 1988 May 14;1 (8594):1088–92.Google ScholarPubMed
Meine, TJ, Roe, MT, Chen, AY, et al. Association of intravenous morphine use and outcomes in acute coronary syndromes: results from the CRUSADE Quality Improvement Initiative. Am Heart J. 2005 Jun;149 (6):10431049.CrossRefGoogle ScholarPubMed
Than, M, Cullen, L, Reid, CM, et al. A 2-h diagnostic protocol to assess patients with chest pain symptoms in the Asia-Pacific region (ASPECT): a prospective observational validation study. Lancet. 2011 Mar 26;377 (9771):10771084.CrossRefGoogle Scholar
Ross, MA, Amsterdam, E, Peacock, WF, et al. Chest pain center accreditation is associated with better performance of centers for Medicare and Medicaid services core measures for acute myocardial infarction. Am J Cardiol. 2008 Jul 15;102 (2):120124.CrossRefGoogle ScholarPubMed

References

Mensah, G, Brown, D. An overview of cardiovascular disease burden in the United States. Health Aff 2007;26:3848.CrossRefGoogle ScholarPubMed
American Heart Association, American Stroke Association. Heart Disease and Stroke Statistics—2011 Update. 2011. Available at: http://circ.ahajournals.org/content/123/4/e18.full.pdf. Accessed: February 2011.Google Scholar
Graff, L, Orledge, J, Radford, MJ, et al. Correlation of the Agency for Health Care Policy and Research congestive heart failure admission guideline with mortality: peer review organization voluntary hospital association initiative to decrease events (PROVIDE) for congestive heart failure. Ann Emerg Med. 1999;34(4 Pt 1):429437.CrossRefGoogle ScholarPubMed
Silva, MA, Peacock, WF, Diercks, DB. Optimizing treatment and outcomes in acute heart failure: beyond initial triage. Congest Heart Fail. May–Jun;12(3): 137–145.CrossRefGoogle Scholar
Storrow, AB, Collins, SP, Lyons, MS, et al. Emergency department observation of heart failure: preliminary analysis of safety and cost. Congest Heart Fail. 2005 Mar–Apr;11(2):6872.CrossRefGoogle ScholarPubMed
Albert, NM, WF. Patient outcome and costs after implementation of an acute heart failure management program in an emergency department obsevation unit. J Internat Soc Heart and Lung Transplant. 1999;18(1):92.Google Scholar
Peacock, WF, Fonarow, GC, et al. Society of Chest Pain Centers recommendations for the evaluation and management of the observation stay acute heart failure patients. Acute Cardiac Care. 2009;11:342.CrossRefGoogle Scholar
Heart Failure Society of America. Executive Summary: HFSA 2010 Comprehensive Heart Failure Practice Guideline. J Card Fail. 2010;16:475539.CrossRefGoogle Scholar
Amin, A, Hospitalized patients with acute decompensated heart failure: recognition, risk stratification, and treatment review. Jour of Hospital Medicine. 2008;3(6):S16–24.Google ScholarPubMed
Stevensen, LW, Perloff, JK. The limited reliability of physical signs for estimating hemodynamics in chronic heart failure. JAMA. 1989; 261(6):884888.CrossRefGoogle Scholar
Peacock, WF, Young, J, Collins, S, et al. Heart failure observation units: optimizing care. Ann Emerg Med. 2006 Jan;47(1):2233. Epub 2005 Aug 15.CrossRefGoogle ScholarPubMed
Mahdyoon, H, Klein, R, Eyler, W, et al. Radiographic pulmonary congestion in end-stage congestive heart failure. Am J Cardiol. 1989;63(9): 625627.CrossRefGoogle ScholarPubMed
Collins, S, Lindsell, CJ, Storrow, AB, et al. Prevalence of negative chest radiography in the emergency department patient with decompensated heart failure. Ann Emerg Med. 2005;47(1):1318.CrossRefGoogle ScholarPubMed
Costanzo, MR, Johannes, RS, Pine, M, et al. The safety of intravenous diuretics alone versus diuretics plus parenteral vasoactive therapies in hospitalized patients with acutely decompensated heart failure: a propensity score and instrumental variable analysis using the Acutely Decompensated Heart Failure National Registry (ADHERE) database. Am Heart J. 2007; 154(2):267277.CrossRefGoogle Scholar
Januzzi, JL, Camargo, CA, Anwaruddin, S, et al. The N-Terminal Pro-BNP Investigation of Dyspnea in the Emergency Department (PRIDE) Study. Am J Cardiol. 2005;95:948954.CrossRefGoogle ScholarPubMed
Silver, MA, Maisel, A, Yanct, CW, et al. BNP Consensus Panel 2004; a clinical approach for the diagnostic, prognostic, screening, treatment monitoring, and therapeutic roles of natriuretic peptides in cardiovascular diseases. Congest Heart Fail. 2004;10(5 suppl 3):130.CrossRefGoogle ScholarPubMed
Di Somma, S, De Berardinis, B, Bongiovanni, C, et al. Use of BNP and bioimpedance to drive therapy in heart failure patients. Congest Heart Fail. 2010; 16 Suppl 1:S56–61.CrossRefGoogle ScholarPubMed
Peacock, WF. Acute emergency department management of heart failure. Heart Fail Rev. 2003;8:335338.CrossRefGoogle ScholarPubMed
Hobbs, RE. Using BNP to diagnose, manage, and treat heart failure. Cleve Clin J Med. 2003;70:333336.CrossRefGoogle ScholarPubMed
Fonarow, GC, Adams, KF Jr, Abraham, WT, et al., for the ADHERE Scientific Advisory Committee, Study Group, and Investigators. Risk stratification for in-hospital mortality in acutely decompensated heart failure: classification and regression tree analysis. JAMA. 2005;293:572580.CrossRefGoogle ScholarPubMed
Elkayam, U, Tasissa Gm Binanay, C, et al. Use and impact of inotropes and vasodilator therapy during heart failure hospitalization in the ESCAPE trail. Circulation. 2004;110(17 suppl):III–515.Google Scholar
Peacock, WF. Rapid optimization: strategies for optimal care of decompensated congestive heart-failure patients in the emergency department. Rev Cardiovasc Med. 2002;3(suppl 4):S41S48.Google ScholarPubMed
Nieminen, MS, Böhm, M, Cowie, MR, et al. Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology. Eur Heart J. 2005;26:384416.Google ScholarPubMed
Brewster, UC, Setaro, JF, Perazella, MA. The renin-angiotension-aldosterone system: cardiorenal effects and implications for renal and cardiovascular disease states. Am Med Sci. 2003 Jul;326(1):1524.CrossRefGoogle Scholar
Felker, GM, Lee, KL, Bull, DA, et al. Diuretic strategies in patients with acute decompensated heart failure. N Engl J Med 2011;364:797805.CrossRefGoogle ScholarPubMed
Hunt, SA, Abraham, W, Chin, M, et al. ACC/AHA Practice Guideline: 2009 Focused Update incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and the Management of Heart Failure in Adults. Circulation. 2009;119:e391e479.Google ScholarPubMed
Peacock, WF, Remer, E, Aponte, J, et al. Effective observation unit treatment of decompensated heart failure. Congest Heart Fail. 2002 Mar–Apr;8(2):6873.CrossRefGoogle ScholarPubMed

References

GO AS, Hylek, EM,Phillips, KA, et al. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA. 2001; 285(18):23702375.Google Scholar
Lloyd-Jones, DM, Wang, TJ, Leip, EP, et al. Lifetime risk for development of atrial fibrillation: the Framingham Hear t Study. Circulation. 2004; 110(9):10421046.CrossRefGoogle Scholar
Coyne, KS, Paramore, C, Grandy, S, et al. Assessing the direct costs of treating nonvalvular atrial fibrillation in the United States. Value Health. 2006; 9(5):348356.CrossRefGoogle ScholarPubMed
Krahn, AD , Manfreda, J, Tate, RB, et al. the natural history of atrial fibrillation: incidence, risk factors, and prognosis in the Manitoba Follow-Up Study. Am J Med. 1995; 98(5):476484.CrossRefGoogle ScholarPubMed
Cameron, A, Schwartz, MJ, Kronmal, RA, et al. Prevalence and significance of atrial fibrillation in coronary artery disease (CASS Registry). Am J Cardiol. 1988; 61(10):714717.CrossRefGoogle ScholarPubMed
Wong, CK, White, HD, Wilcox, RG, et al. New atrial fibrillation after acute myocardial infarction independently predicts death: the GUSTO-III experience. Am Heart J. 2000; 140(6):878885.CrossRefGoogle ScholarPubMed
2 Bharati, S, Lev, M. Histology of the normal and diseased atrium. In: Falk, RH, Podrid, PJ, eds. Atrial Fibrillation: Mechanisms and Management. New York: Raven Press, 1992.Google Scholar
Fuster, V, Ryden, LE, Cannom, DS, et al. ACC/AHA/ASC guidelines for the management of patients with atrial fibrillation: a report to the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines: developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm and the heart Rhythm society. Circulation. 2006; 114(7)e257e354.Google Scholar
Schotten, U, Verheule, S, Kirchhof, P, et al. Pathophysiological mechanisms of atrial fibrillation: a translational appraisal. Physio Rev 2011; 91:265.CrossRefGoogle ScholarPubMed
Allessie, MA, Konings, K, Kirchhof, CJ, et al. Electophysiologic mechanisms of perpetuation of atrial fibrillation. Am J Cardiol 1996; 77:10A.CrossRefGoogle Scholar
Danias, PG, Caulfield, TA, Weigner, MJ, et al. Likelihood of spontaneous conversion of atrial fibrillation to sinus rhythm. Journal of the American College of Cardiology. 1998; 31(3):588592.CrossRefGoogle ScholarPubMed
Wyse, DG, Waldo, AL, DiMarco, JP, et al. Atrial Fibrillation Follow up Investigation of Rhythm Management (AFFIRM) Investigators. A comparison of rate control and rhythm control in patients with atrial fibrillation. NEJM.2002; 347(23):18251833.Google Scholar
VanGelder, IC, Hagens, VE, Bosker, HA, et al. A comparison of rate control and rhythm control in patients with recurrent persistent atrial fibrillation. NEJM. 2002; 347:18341840.CrossRefGoogle Scholar
Wakai, A, O’Neill, JO. Emergency management of atrial fibrillation. Postgrad Med J. 2003; 79:313319.CrossRefGoogle ScholarPubMed
Levy, S. Pharmacologic management of atrial fibrillation: current therapeutic strategies. Am Heart J. 2001; 141:S15–21.CrossRefGoogle ScholarPubMed
Alboni, P, Botto, GL, Baldi, N, et al. Outpatient treatment of recent-onset atrial fibrillation with the “pill in the pocket” approach. N Engl J Med. 2004; 351 : 23842391.CrossRefGoogle ScholarPubMed
Reiffel, JA. Atrial fibrillation: what have recent trials taught us regarding pharmacologic management of rate and rhythm control? PACE. 2011; 34:247259.CrossRefGoogle ScholarPubMed
Gage, BF, Waterman, AD, Shannon, W, et al. Validation of clinical classification schemes for predicting strokes: results from the National Registry of Atrial Fibrillation. JAMA. 2001. 285(22):28642870.CrossRefGoogle Scholar
Lip, GY, Niewlaat, R, Pisters, R, et al. Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the euro heart survey on atrial fibrillation. Chest. 2010; 137(2):263272.CrossRefGoogle ScholarPubMed
Ahrens, I, Lip, GY, Pete, K. New oral anticoagulant drugs in cardiovascular disease. Thromb Haemost. 2010; 104(1):4960Google ScholarPubMed
Connolly, SJ, et al. Dabigatran versus warfarin in patients with atrial fibrillation. New England Journal of Medicine. 2009; 361.CrossRefGoogle ScholarPubMed
Pollack, CV Jr, Reilly, PA, Eikelboom, J, et al. Idarucizumab for dabigatran reversal. NEJM 2015;373:511520.CrossRefGoogle ScholarPubMed
Decker, WW, Smars, PA, et al. A prospective, randomized trial of an emergency department observation unit for acute onset atrial fibrillation. Ann Emerg Med. 2008 Oct; 52(4):322328.CrossRefGoogle ScholarPubMed
Vinson, DR, Hoehn, T, Graber, DJ, et al. Managing emergency department patients with recent – onset atrial fibrillation. J Emerg Med. 2012; 42 (2):139148.CrossRefGoogle ScholarPubMed
Koenig, BO, Ross, MA, Jackson, RE. An emergency department observation unit protocol for acute-onset atrial fibrillation is feasible. Ann Emerg Med. 2002; 39:374381.CrossRefGoogle ScholarPubMed
Ross, MA, Comptom, S, Medado, P, et al. An emergency department diagnostic protocol for patients with transient ischemic attack: a randomized controlled trial. Ann Emerg Med. 2007; 50(2):109119.CrossRefGoogle ScholarPubMed

References

Soteriades, ES, Evans, JC, Larson, MG, et al. Incidence and prognosis of syncope. N Engl J Med. 2002 Sep 19;347 (12): 878885.CrossRefGoogle ScholarPubMed
Anderson, KL, Limkakeng, A, Damuth, E, et al. Cardiac evaluation for structural abnormalities may not be required in patients presenting with syncope and a normal ECG result in an observation unit setting. Ann Emerg Med. 2012 May 24. (Epub ahead of print)CrossRefGoogle Scholar
Sun, BC, Emond, JA, Camargo, CA Jr. Direct medical costs of syncope-related hospitalizations in the United States. Am J Cardiol. 2005; 95 (5): 668671.CrossRefGoogle ScholarPubMed
Huff, JS, Decker, WW, Quinn, JV, et al. American College of Emergency Physicians. Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with syncope. Ann Emerg Med. 2007; 49 (4): 431444.CrossRefGoogle Scholar
Alshekhlee, A, Shen, WK, Mackall, J, et al. Incidence and mortality rates of syncope in the United States. Am J Med. 2009 Feb; 122 (2): 181188.CrossRefGoogle ScholarPubMed
Kapoor, W.N., Hanusa, B.H. Is syncope a risk factor for poor outcomes? Comparison of patients with and without syncope. Am J Med. 1996 Jun; 100 (6): 646655.CrossRefGoogle ScholarPubMed
Colivicchi, F, Ammirati, F, Melina, D, et al. Development and prospective validation of a risk stratification system for patients with syncope in the emergency department: the OESIL risk score. Eur Heart J. 2003; 24: 811819.CrossRefGoogle ScholarPubMed
Shen, WK, Decker, WW, Smars, PA, et al. Syncope Evaluation in the Emergency Departments (SEEDS): a multidisciplinary approach to syncope management. Circulation. 2004; 110: 36363645.CrossRefGoogle Scholar
Quinn, JV, Stiell, IG, McDermott, DA, et al. Derivation of the San Francisco Syncope Rule to predict patients with short-term serious outcomes. Ann Emerg Med. 2004; 43: 224232.CrossRefGoogle ScholarPubMed
Costantino, G, Perego, F, Dipaola, F, et al. on behalf of the STePS Investigators. Short- and long-term prognosis of syncope, risk factors, and role of hospital admission results from the STePS (Short-Term Prognosis of Syncope) study. J Am Coll Cardiol 2008; 51: 276283.CrossRefGoogle Scholar
Del Rosso, A, Ungar, AR, Maggi, R, et al. Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to a general hospital: the EGSYS score. Heart 2008; 94: 16201626.CrossRefGoogle ScholarPubMed
Reed, MJ, Newby, DE, Coull, AJ, et al. The ROSE (risk stratification of syncope in the emergency department) study. J Am Coll Cardiol. 2010; 55 (8): 713721.CrossRefGoogle ScholarPubMed
Gauer, RL. Evaluation of syncope. Am Fam Physician. 2011 Sep 15;84 (6): 640650.Google ScholarPubMed
Linzer, M, Yang, EH, Estes, NA III, et al. Diagnosing syncope. Part 1: Value of history, physical examination, and electrocardiography. Clinical Efficacy Assessment Project of the American College of Physicians. Ann Intern Med. 1997; 126 (12): 989996.CrossRefGoogle ScholarPubMed
Quinn, J, McDermott, D, Stiell, I, et al. Prospective validation of the San Francisco Syncope Rule to predict patients with serious outcomes. Ann Emerg Med. 2006 May; 47 (5): 448454.CrossRefGoogle ScholarPubMed
Serrano, LA, Hess, EP, Bellolio, MF, et al. Accuracy and quality of clinical decision rules for syncope in the emergency department: a systematic review and meta-analysis. Ann Emerg Med. 2010 Oct; 56 (4): 362373.e1.CrossRefGoogle ScholarPubMed
Dipaola, FCG, Perego, F, Borella, M, et al. San Francisco Syncope Rule, Osservatorio Epidemiologicosulla Sincopenel Lazio risk score, and clinical judgment in the assessment of short-term outcome of syncope. Am J Emerg Med. 2010; 28: 432439.CrossRefGoogle ScholarPubMed
Reed, MJ, Henderson, SS, Newby, DE, et al. One-year prognosis after syncope and the failure of the ROSE decision instrument to predict one-year adverse events. Ann Emerg Med. 2011 Sep; 58 (3): 250256.CrossRefGoogle ScholarPubMed
Strickberger, SA, Benson, DW, Biaggioni, I, et al. AHA/ACCF scientific statement on the evaluation of syncope: from the American Heart Association Councils on Clinical Cardiology, Cardiovascular Nursing, Cardiovascular Disease in the Young, and Stroke, and the Quality of Care and Outcomes Research Interdisciplinary Working Group; and the American College of Cardiology Foundation In Collaboration With the Heart Rhythm Society. J Am Coll Cardiol. 2006; 47 (2): 473484.CrossRefGoogle Scholar
Sarasin, FP, Louis-Simonet, M, Carballo, D, et al. Prospective evaluation of patients with syncope: a population-based study. Am J Med. 2001; 111 (3): 177184.CrossRefGoogle ScholarPubMed
Reed, MJ, Gibson, L. The effect of syncope on brain natriuretic peptide. Emerg Med J. 2011 Dec; 28 (12): 10661067.CrossRefGoogle ScholarPubMed
Alboni, P, Brignole, M, Menozzi, C, et al. Diagnostic value of history in patients with syncope with or without heart disease. J Am Coll Cardiol. 2001; 37 (7): 19211928.CrossRefGoogle ScholarPubMed
Sarasin, FP, Junod, AF, Carballo, D, et al. Role of echocardiography in the evaluation of syncope: a prospective study. Heart. 2002; 88 (4): 363367.CrossRefGoogle ScholarPubMed
Banerjee, A, Newman, DR, Van den Bruel, A, et al. Diagnostic accuracy of exercise stress testing for coronary artery disease: a systematic review and meta-analysis of prospective studies. Int J Clin Pract. 2012 May; 66 (5): 477492.CrossRefGoogle ScholarPubMed
Croci, F, Brignole, M, Alboni, P, et al. The application of a standardized strategy of evaluation in patients with syncope referred to three syncope units. Europace. 2002;4 (4): 351355.CrossRefGoogle ScholarPubMed

References

National Hospital Ambulatory Medical Care Survey: 2012 State and National Summary Tables. CDC. www.cdc.gov/nchs/data/ahcd/nhamcs_emergency/2009_ed _web_tables.pdf. [Accessed 18 February 2016]Google Scholar
Lindsell, CJ, Anantharaman, V, Diercks, D, et al. The Internet Tracking Registry of Acute Coronary Syndromes (i*trACS): a multicenter registry of patients with suspicion of acute coronary syndromes reported using the standardized reporting guidelines for emergency department chest pain studies. Ann Emerg Med. 2006;48(6):666677.CrossRefGoogle ScholarPubMed
Pope, JH, Aufderheide, TP,Ruthazer, R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):11631170.CrossRefGoogle ScholarPubMed
Christensen, J, Innes, G, McKnight, D, et al. Safety and efficiency of emergency department assessment of chest discomfort. CMAJ. 2004;170(12):18031807.CrossRefGoogle Scholar
Brown, TW, McCarthy, ML, Kelen, GD, et al. An epidemiologic study of closed emergency department malpractice claims in a national database of physician malpractice insurers. Acad Emerg Med. 2010;17:553560CrossRefGoogle Scholar
Wilkinson, K, Severance, H. Identification of chest pain patients appropriate for an emergency department observation unit. Emerg Med Clin North Am. 2001;19:3566.CrossRefGoogle ScholarPubMed
Goodacre, S, Nicholl, J, Dixon, S, et al. Randomised controlled trial and economic evaluation of a chest pain observation unit compared with routine care. BMJ. 2004;328(7434):254.CrossRefGoogle ScholarPubMed
Miller, CD, Hoekstra, JW, Lefebvre, C, et al. Provider-directed imaging stress testing reduces health care expenditures in lower-risk chest pain patients presenting to the emergency department. Circ Cardiovasc Imaging. 2012;5(1):111118.CrossRefGoogle ScholarPubMed
Gibbons, RJ, Balady, GJ, Bricker, JT, et al. ACC/AHA 2002 guideline update for exercise testing: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines). J Am Coll Cardiol. 2002;40:15311540.CrossRefGoogle Scholar
Amsterdam, EA, Wenger, NK, Brindis, RG, et al. 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;130(25):2354–94.Google Scholar
Morise, AP. Are the American College of Cardiology/American Heart Association guidelines for exercise testing for suspected coronary artery disease correct? Chest. 2000;118:535541.CrossRefGoogle Scholar
Mark, DB, Shaw, L, Harrell, FE Jr, et al. Prognostic value of a treadmill exercise score in outpatients with suspected coronary artery disease. N Engl J Med. 1991;325:849853.CrossRefGoogle ScholarPubMed
Amsterdam, EA, Kirk, JD, Bluemke, DA, et al. American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology, Council on Cardiovascular Nursing, and Interdisciplinary Council on Quality of Care and Outcomes Research. Testing of low-risk patients presenting to the emergency department with chest pain: a scientific statement from the American Heart Association. Circulation. 2010;122(17):17561776.CrossRefGoogle Scholar
Simari, RD, Miller, TD, Zinsmeister, AR, et al. Capabilities of supine exercise electrocardiography versus exercise radionuclide angiography in predicting coronary events. Am J Cardiol 1991; 67:573577.CrossRefGoogle ScholarPubMed
Klocke, FJ, Baird, MG, Bateman, TM, et al. ACC/AHA/ASNC guidelines for the clinical use of cardiac radionuclide imaging: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASNC Committee to Revise the 1995 Guidelines for the Clinical Use of Cardiac Radionuclide Imaging); 2003.Google Scholar
Scott-Moncrieff, A, Yang, J, Levine, D, et al. Real-world estimated effective radiation doses from commonly used cardiac testing and procedural modalities. Can J Cardiol. 2011;27(5):613618.CrossRefGoogle ScholarPubMed
Duvall, WL, Wijetunga, MN, Klein, TM, et al. Stress-only Tc-99m Myocardial Perfusion Imaging in an Emergency Department Chest Pain Unit. J Emerg Med. 2012;42(6):642650.CrossRefGoogle Scholar
Bateman, TM, Heller, GV, McGhie, AI, et al. Diagnostic accuracy of rest/stress ECG-gated Rb-82 myocardial perfusion PET: comparison with ECG-gated Tc-99m sestamibi SPECT. J Nucl Cardiol. 2006;13(1):2433.CrossRefGoogle ScholarPubMed
Navare, SM, Mather, JF, Shaw, LJ, et al. Comparison of risk stratification with pharmacologic and exercise stress myocardial perfusion imaging: a meta-analysis. J Nucl Cardiol. 2004;11(5):551561.CrossRefGoogle ScholarPubMed
Chow, BJ, Wong, JW, Yoshinaga, K, et al. Prognostic significance of dipyridamole-induced ST depression in patients with normal 82Rb PET myocardial perfusion imaging. J Nucl Med. 2005;46(7):10951101.Google ScholarPubMed
Pellikka, PA, Nagueh, SF, Elhendy, AA, et al. American Society of Echocardiography recommendations for performance, interpretation, and application of stress echocardiography. J Am Soc Echocardiogr. 2007;20(9):10211041.CrossRefGoogle ScholarPubMed
Bedetti, G, Pasanisi, EM, Tintori, G, et al. Stress echo in chest pain unit: the SPEED trial. Int J Cardiol. 2005 Jul 20;102(3):461467.CrossRefGoogle Scholar
Gaibazzi, N, Reverberi, C, Badano, L. Usefulness of contrast stress-echocardiography or exercise-electrocardiography to predict long-term acute coronary syndromes in patients presenting with chest pain without electrocardiographic abnormalities or 12-hour troponin elevation. Am J Cardiol.2011;107(2):161167.CrossRefGoogle ScholarPubMed
Plein, S, Greenwood, JP, et al.Assessment of non-ST-segment elevation acute coronary syndromes with cardiac magnetic resonance imaging. J Am Coll Cardiol. 2004;44:21732181.CrossRefGoogle ScholarPubMed
Lerakis, S, McLean, DS,Anadiotis, AV,et al. Prognostic value of adenosine stress cardiovascular magnetic resonance in patients with low-risk chest pain. J Cardiovasc Magn Reson. 2009;11:37.CrossRefGoogle ScholarPubMed
Miller, CD, Hwang, W, Case, D, et al. Stress CMR imaging observation unit in the emergency department reduces 1-year medical care costs in patients with acute chest pain: a randomized study for comparison with inpatient care. JACC Cardiovasc Imaging. 2011;4(8):862870.CrossRefGoogle ScholarPubMed
Blankstein, R, Shturman, LD, Rogers, IS, et al. Adenosine-induced stress myocardial perfusion imaging using dual-source cardiac computed tomography. J Am Coll Cardiol 2009; 54:10721084.CrossRefGoogle ScholarPubMed
Chow, BJ, Abraham, A, Wells, GA, et al. Diagnostic accuracy and impact of computed tomographic coronary angiography on utilization of invasive coronary angiography.Circ Cardiovasc Imaging. 2009;2:1623.CrossRefGoogle ScholarPubMed
Hu, XH, Zheng, WL, Wang, D, et al. Accuracy of high-pitch prospectively ECG-triggering CT coronary angiography for assessment of stenosis in 103 patients: Comparison with invasive coronary angiography. Clin Radiol. 2012; 67(11):10831088; Available online 2012 May 19.CrossRefGoogle ScholarPubMed
Giesler, T, Baum, U, Ropers, D, et al. Noninvasive visualization of coronary arteries using contrast-enhanced multidetector CT: influence of heart rate on image quality and stenosis detection.AJR. 2002;179:911916.CrossRefGoogle ScholarPubMed
Litt, HI, Gatsonis, C, Synder, B, et al. CT angiography for safe discharge of patients with possible acute coronary syndromes. N Engl J Med. 2012; 366:13931403.CrossRefGoogle ScholarPubMed
BaireyMerz, CN, Shaw, LJ, Reis, SE, et al. WISE Investigators. Insights from the NHLBI-Sponsored Women's Ischemia Syndrome Evaluation (WISE) Study: Part II: gender differences in presentation, diagnosis, and outcome with regard to gender-based pathophysiology of atherosclerosis and macrovascular and microvascular coronary disease. J Am Coll Cardiol. 2006;47(3 Suppl):S21–29.Google Scholar
Mieres, JH, Shaw, LJ, Hendel, RC et al. Writing Group on Perfusion Imaging in Women. American Society of Nuclear Cardiology consensus statement: Task Force on Women and Coronary Artery Disease – the role of myocardial perfusion imaging in the clinical evaluation of coronary artery disease in women [correction].J Nucl Cardiol. 2003;10(1):95101.nCrossRefGoogle Scholar
Kwok, Y, Kim, C, Grady, D, et al. Meta-analysis of exercise testing to detect coronary artery disease in women. Am J Cardiol. 1999;83:660666.CrossRefGoogle ScholarPubMed
Gulati, M, Pandey, DK, Arnsdorf, MF, et al. Exercise capacity and the risk of death in women: the St James Women Take Heart Project. Circulation. 2003;108:15541559.CrossRefGoogle Scholar
Roger, VL, Jacobsen, SJ, Pellikka, PA, et al. Prognostic value of treadmill exercise testing: a population-based study in Olmsted county, Minnesota. Circulation. 1998;98:28362841.CrossRefGoogle ScholarPubMed
Lauer, MS, Francis, GS, Okin, PM, et al. Impaired chronotropic response to exercise stress testing as a predictor of mortality. JAMA. 1999;281:524529.CrossRefGoogle ScholarPubMed
Marwick, TH, Anderson, T, Williams, MJ, et al. Exercise echocardiography is an accurate and costefficienttechnique for detection of coronary artery disease in women. J Am Coll Cardiol. 1995;26:335341.CrossRefGoogle ScholarPubMed
Mieres, JH, Makaryus, AN, Cacciabaudo, JM, et al. Value of electrocardiographically gated single-photon emission computed tomographic myocardial perfusion scintigraphy in a cohort of symptomatic postmenopausal women. Am J Cardiol. 2007;99:10961099.CrossRefGoogle Scholar
Tsang, JC, Min, JK, Lin, FY, et al. Sex comparison of diagnostic accuracy of 64-multidetector row coronary computed tomographic angiography: Results from the multicenter ACCURACY trial. J Cardiovasc Comput Tomogr. Published online 2012 June 4.CrossRefGoogle Scholar
Coelho-Filho, OR, Seabra, LF, Mongeon, FP, et al. Stress myocardial perfusion imaging by CMR provides strong prognostic value to cardiac events regardless of patient’s sex. JACC Cardiovasc Imaging. 2011;4(8):850861.CrossRefGoogle ScholarPubMed
Mieres, JH, Heller, GV, Hendel, RC, et al. Signs and symptoms of suspected myocardial ischemia in women: results from the What is the Optimal Method for Ischemia Evaluation in Women? trial. J Womens Health. 2011;20(9):12611268.CrossRefGoogle ScholarPubMed
Penumetsa, SC, Mallidi, J, Friderici, JL, et al. Outcomes of patients admitted for observation of chest pain. Arch Intern Med. Published online 7 May 2012. [Accessed June 12, 2012].CrossRefGoogle Scholar
Kwok, JM, Miller, TD, Christian, TF, et al. Prognostic value of a treadmill exercise score in symptomatic patients with nonspecific ST-T abnormalities on resting ECG. JAMA. 1999;282(110):10471053.CrossRefGoogle ScholarPubMed
Cheitlin, MD, Armstrong, WF, Aurigemma, GP, et al. ACC/AHA/ASE 2003 guideline update for the clinical application of echocardiography. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE Committee to Update the 1997 Guidelines for the Clinical Application of Echocardiography); 2003. www.accorg/clinical/guidelines/echo/index.pdf. [Accessed June 12, 2012].CrossRefGoogle Scholar
Picano, E, Molinaro, S, Pasanisi, E. The diagnostic accuracy of pharmacological stress echocardiography for the assessment of coronary artery disease: a meta-analysis. Cardiovasc Ultrasound. 2008;6:30.CrossRefGoogle ScholarPubMed
Husmann, L, Wiegand, M, Valenta, I, et al. Diagnostic accuracy of myocardial perfusion imaging with single photon emission computed tomography and positron emission tomography: a comparison with coronary angiography. Int J Cardiovasc Imaging. 2008;24(5):511518.CrossRefGoogle ScholarPubMed
Einstein, AJ, Moser, KW, Thompson, RC, et al. Radiation dose to patients from cardiac diagnostic imaging. Circulation. 2007;116(11):12901305.CrossRefGoogle ScholarPubMed
Bertaso, AG, Richardson, JD, Wong, DT, et al. Prognostic value of adenosine stress perfusion cardiac MRI with late gadolinium enhancement in an intermediate cardiovascular risk population. Int J Cardiol. 2012 Jun 2. [Epub ahead of print] [Accessed June 14, 2012].Google Scholar
Hulten, EA, Carbonaro, S, Petrillo, SP, et al. Prognostic value of cardiac computed tomography angiography: a systematic review and meta-analysis. J Am Coll Cardiol. 2011;57(10):1239.CrossRefGoogle ScholarPubMed
Min, JK, Dunning, A, Lin, FY, et al. Age- and sex-related differences in all-cause mortality risk based on coronary computed tomography angiography findings. Results from the international multicenter CONFIRM (Coronary CT Angiography Evaluation for Clinical Outcomes: An International Multicenter Registry) of 23,854 patients without known coronary artery disease. J Am Coll Cardiol. 2011;58(8):849860.CrossRefGoogle Scholar
Genders, TS, Petersen, SE, Pugliese, F, et al. The optimal imaging strategy for patients with stable chest pain: A cost-effectiveness analysis. Ann Intern Med. 2015;162:474484.CrossRefGoogle ScholarPubMed

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