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The second edition of this book provides scientific and clinical insights on the management of patients who arrive at the hospital with a presentation consistent with a potential acute coronary syndrome. Focusing on the cardiology aspects of chest pain, it presents the science and methodology that has allowed the remarkable improvements in diagnostic accuracy and improved patient outcomes for the evaluation of patients presenting with suspected acute coronary syndromes. Chapters address key issues of the implementation of high sensitivity troponin and the use of contemporary non-invasive myocardial perfusion evaluation technologies (e.g., coronary artery computed tomography). It also addresses the cutting edge application of new technologies that promise to effect the early identification of coronary vascular disease. This new edition offers updated chapters as well as brand new chapters.Short Stay Management of Chest Pain is a valuable tool for acute care physicians, nurses, and hospital administrators devoted to caring for this population.
Epidemiology and Demographics of Coronary Artery Disease
The Financial Impact of Acute Coronary Syndromes
Reimbursement Considerations:​ Chest Pain Observation
Why Have Chest Pain Patients in a Short Stay Unit?​
Value of Accreditation for Chest Pain Centers
Pathophysiology and Definition of the Acute Coronary Syndromes
Chest Pain Risk Stratification by History, Physical Examination, and ECG
The Role of Biomarkers in Chest Pain Evaluation
Emergency Department Presentation of Chest Pain
Risk Scoring Systems:​ Are They Necessary?​
Emergency Department Disposition of Patients Presenting with Chest Pain
Short Stay Unit Requirements
Medical Therapy in Patients Managed in a Chest Pain Observation Unit
Provocative Testing
Use of Multislice CT for the Evaluation of Patients with Chest Pain
Use of Magnetic Resonance Imaging for Evaluation of Patients with Chest Pain
New Technologies for the Evaluation of Acute Coronary Syndromes:​ Magnetocardiogra​phy—The Next Generation of Super Electrocardiogra​m?​
Disposition from the Short Stay Unit
Examples of Chest Pain Accelerated Decision Pathways, Rule-Out ACS/​ACS Protocols, Order Sets, and Discharge Instructions