Chest pain in adults: Diagnostic approach

Until recently, most health care organizations could get by without a real strategy, as most businesses understand that term. They didn't need to worry about how to be different or make painful decisions about what not to do. As long as patients came in the door, they did fine, since fee-for..

Chest pain is a common reason for presentation to the emergency department (ED). Absolute criteria for Acute Coronary Syndrome without ST elevation (NSTE-ACS) are lacking. An acute coronary syndrome (ACS) needs to be distinguished from a variety of other cardiac and non-cardiac diseases that may cause chest pain.For patients with confirmed ACS, several scoring methods can be applied in order to distinguish patients in the coronary care unit who may benefit most from therapies. The PURSUIT, TIMI, GRACE and FRISC risk scores are well validated with this respect...