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Comment & Response
June 2014

Low-Risk Chest Pain in the Emergency DepartmentShould We Be Focusing on Better Follow-up Instead of Accelerated Testing?

Author Affiliations
  • 1Department of Emergency Medicine, Kaiser Permanente, East Bay, Oakland, California
  • 2Department of Emergency Medicine, Kaiser Permanente, Roseville, Roseville, California
JAMA Intern Med. 2014;174(6):1009-1010. doi:10.1001/jamainternmed.2014.924

To the Editor We would like to thank Than and colleagues13 for their efforts to safely streamline the emergency department (ED) evaluation of low-risk patients with chest pain. We are concerned, however, that their data could be read to suggest that 30-day major adverse cardiac events (MACEs) can be safely excluded in emergency department (ED) patients with possible acute coronary syndrome based purely on low-risk results using their accelerated diagnostic protocol. Such an interpretation of this study would be misleading.

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