EMERGENCY CARDIAC STRESS-TESTING IN THE EVALUATION OF EMERGENCY DEPARTMENT PATIENTS WITH ATYPICAL CHEST PAIN

被引：63

作者：

KERNS, JR ^{[1
]}

SHAUB, TF ^{[1
]}

FONTANAROSA, PB ^{[1
]}

机构：

[1] NE OHIO UNIV,COLL MED,DEPT EMERGENCY MED,AKRON,OH

来源：

ANNALS OF EMERGENCY MEDICINE | 1993年 / 22卷 / 05期

关键词：

CHEST PAIN; STRESS TESTS;

D O I：

10.1016/S0196-0644(05)80793-0

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objectives: To determine the feasibility, safety, and reliability of emergency cardiac treadmill exercise stress testing (CTEST) in the evaluation of emergency department patients with atypical chest pain. Design: Thirty-two patients with atypical chest pain, normal ECGs, and risk factor stratification having low-probability of coronary artery disease were evaluated prospectively using outpatient, emergency CTEST. Study patients were compared with a retrospectively selected sample of admitted patients diagnosed with atypical chest pain who met the study criteria and were evaluated with CTEST as inpatients. All patients had follow-up at three and six months after evaluation. Setting: University-affiliated community teaching hospital with 65,000 annual ED visits. Results: All patients had normal CTEST No patient had evidence of coronary artery disease, myocardial infarction, or sudden death during the follow-up period. The average length of stay was 5.5 hours for emergency CTEST patients versus two days for inpatients. The average patient charge was $467 for ED evaluation with emergency CTEST versus $2,340 for inpatient evaluation. Conclusion: Emergency CTEST is a safe, efficient, cost-effective, and practical method of evaluating selected ED patients with chest pain. It is a useful aid for clinical decision making and may help to prevent unnecessary hospital admissions,

引用

页码：794 / 798

页数：5

共 36 条

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