Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
Chest pain is one of the most challenging symptoms for emergency medicine physicians to evaluate. They must identify patients with cardiac ischemia without subjecting all patients, the overwhelming majority of whom do not have ischemia, to unnecessary testing. Most patients evaluated in the emergency department (ED) for chest pain who have normal electrocardiogram findings and negative results of cardiac biomarker tests do not have cardiac ischemia. Thus, the question should not be what further testing to perform, but should any further testing be done in the ED.
Redberg RF. Stress Testing in the Emergency Department: Not Which Test but Whether Any Test Should Be Done. JAMA Intern Med. 2015;175(3):436. doi:10.1001/jamainternmed.2014.7698