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Invited Commentary
April 2014

The Patient With Chest Pain: Low Risk, High Stakes

Author Affiliations
  • 1University of California School of Medicine, Davis, Sacramento
  • 2Division of Cardiovascular Medicine, Lawrence J. Ellison Ambulatory Care Center, Sacramento, California
JAMA Intern Med. 2014;174(4):553-554. doi:10.1001/jamainternmed.2013.13415

The etiology of chest pain is serious in only a distinct minority of the multitude of patients who visit the emergency department (ED) with this symptom each year, but the consequences of missing acute coronary syndrome or other life-threatening conditions can include grave clinical sequelae and major liability. Thus, the dilemma of low risk but high stakes in this patient population continues to spur efforts to optimally serve both groups by rapid identification of those requiring urgent treatment and safe, cost-effective, and early discharge in the large majority with a benign condition.

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