Safely Identifying Emergency Department Patients With Acute Chest Pain for Early Discharge: HEART Pathway Accelerated Diagnostic Protocol

Safely Identifying Emergency Department Patients With Acute Chest Pain for Early Discharge: HEART Pathway Accelerated Diagnostic Protocol
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DOI:
10.1161/circulationaha.118.036528
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发表时间:
2018-11-27
期刊:
影响因子:
37.8
通讯作者:
Miller, Chadwick D.
Miller, Chadwick D.
中科院分区:
医学1区
文献类型:
--
作者:
Mahler, Simon A.;Lenoir, Kristin M.;Miller, Chadwick D.

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背景:HEART途径(病史、心电图、年龄、危险因素和初始肌钙蛋白)是一种加速诊断方案,旨在识别低风险急诊科胸痛患者,早期出院时无需压力测试或血管造影。本研究的目的是确定实施HEART通路是否安全(30天死亡和心肌梗死率)
Background: The HEART Pathway (history, ECG, age, risk factors, and initial troponin) is an accelerated diagnostic protocol designed to identify low-risk emergency department patients with chest pain for early discharge without stress testing or angiography. The objective of this study was to determine whether implementation of the HEART Pathway is safe (30-day death and myocardial infarction rate