The second edition of this book provides scientific and clinical insights on the management of patients who arrive at the hospital with a presentation consistent with a potential acute coronary syndrome. Focusing on the cardiology aspects of chest pain, it presents the science and methodology that has allowed the remarkable improvements in diagnostic accuracy and improved patient outcomes for the evaluation of patients presenting with suspected acute coronary syndromes. Chapters address key issues of the implementation of high sensitivity troponin and the use of contemporary non-invasive myocardial perfusion evaluation technologies (e.g., coronary artery computed tomography). It also addresses the cutting edge application of new technologies that promise to effect the early identification of coronary vascular disease. This new edition offers updated chapters as well as brand new chapters.
Short Stay Management of Chest Pain is a valuable tool for acute care physicians, nurses, and hospital administrators devoted to caring for this population.
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Epidemiology and Demographics of Coronary Artery Disease |
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1 | (14) |
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The Financial Impact of Acute Coronary Syndromes |
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15 | (18) |
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Reimbursement Considerations: Chest Pain Observation |
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33 | (8) |
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Why Have Chest Pain Patients in a Short Stay Unit? |
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41 | (12) |
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Value of Accreditation for Chest Pain Centers |
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53 | (8) |
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Pathophysiology and Definition of the Acute Coronary Syndromes |
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61 | (8) |
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Chest Pain Risk Stratification by History, Physical Examination, andECG |
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69 | (8) |
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The Role of Biomarkers in Chest Pain Evaluation |
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77 | (16) |
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Emergency Department Presentation of Chest Pain |
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93 | (12) |
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Risk Scoring Systems: Are They Necessary? |
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105 | (10) |
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Emergency Department Disposition of Patients Presenting with Chest Pain |
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115 | (8) |
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Short Stay Unit Requirements |
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123 | (4) |
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Medical Therapy in Patients Managed in a Chest Pain Observation Unit |
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127 | (8) |
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135 | (16) |
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Use of Multislice CT for the Evaluation of Patients with Chest Pain |
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151 | (18) |
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Use of Magnetic Resonance Imaging for Evaluation of Patients with Chest Pain |
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169 | (8) |
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New Technologies for the Evaluation of Acute Coronary Syndromes: Magnetocardiography--The Next Generation of Super Electrocardiogram? |
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177 | (38) |
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Disposition from the Short Stay Unit |
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215 | (14) |
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Examples of Chest Pain Accelerated Decision Pathways, Rule-Out ACS/ACS Protocols, Order Sets, and Discharge Instructions |
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229 | |
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| Index |
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Margarita E. Pena, MD FACEP is the Medical Director of the Clinical Decision Unit and Associate Program Director at Ascension St. John Hospital, and a professor of Emergency Medicine at the Wayne State University School of Medicine in Detroit, Michigan. She has published manuscripts and book chapters in Observation and Emergency Medicine, is co-director of the Observation Medicine - Science and Solutions conference, and recipient of the 2010 Emergency Physician of the Year Award by the Michigan College of Emergency Physicians. Anwar Osborne MD MPM FACEP is an Assistant Program Director for Emergency Medicine at Emory University School of Medicine, Observation Medicine Rotation director, and Director of Resident Research Contributions. As an Associate Professor of both Emergency Medicine and Emergency Medicine, he has worked extensively with national cardiac quality initiatives with both the American College of Cardiology and the Societyof Cardiovascular Patient Care. He is a past chair of the Observation Medicine Section of ACEP and is a co-director of the Observation Medicine Science and Solutions conference. W. Frank Peacock IV, MD, FACEP, FACC, FESC is a Professor of Emergency Medicine and Vice Chair for Research in the department of Emergency Medicine at Baylor College of Medicine, in Houston, Texas. With >600 publications, he is a two-time winner of the Best Research Paper of the Year Award from the American College of Emergency Physicians, and the 2019 Ray Bahr Award for Excellence from the American College of Cardiology. Finally, he is the founder of Comprehensive Research Associates, LLC, and Emergencies in Medicine, LLC.
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