Author Affiliation: Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minn.
More than 6 million patients in the United States present to emergency
departments (EDs) each year with chest pain or other symptoms suggestive of
myocardial ischemia.1 The challenge for the
family practitioner, general internist, emergency physician, or cardiologist
is to rapidly evaluate such patients and to accurately identify those at highest
risk, thereby appropriately using hospitalization and urgent therapy, while
expeditiously discharging those who do not require hospitalization. The principal
tools currently available to physicians are the clinical history, acute electrocardiogram,
and measurement of biochemical cardiac markers.
Gibbons RJ. Chest Pain Triage—Another Step Forward. JAMA. 2002;288(21):2745-2746. doi:10.1001/jama.288.21.2745