الفهرس Only 14 pages are availabe for public view
 |  | from | 104 |  |  |
| | | from | 104 | | |
Abstract
.Evaluation of chest pain should follow a comprehensive, systematic,
protocol-driven approach. The goals of initial assessment of the patient
with chest pain are; a) to distinguish patients with an ACS or other
serious etiology; b) to assess the level of risk of adverse outcomes in
patients with a suspected ACS or other serious etiology; and c) to initiate
rapid treatment in patients with serious conditions, according to current
guidelines.
2. Chest pain centers facilitate rapid, efficient management of high risk
patients with an ACS and identification of lower risk patients who do not
require hospital admission, by application of accelerated diagnostic
protocols.
3. Chest pain centers may have a dedicated environment and the
coordinated efforts of specialized personnel to attain the objectives of
safe, accurate and cost-effective management of patients presenting with
chest pain.
4. Low-risk patients presenting to the emergency department with chest
pain can be identified by clinical criteria (history, physical examination,
and electrocardiogram).
5. Meticulous evaluation for the recognition of typical and atypical
presentations of ischemic chest discomfort is mandatory for physicians
managing patients with this presentation.
6. Accelerated diagnostic protocols should include at least 6 to 12 h of
observation, ECG monitoring, and serial cardiac biomarkers