Chest pain units provide an important alternative to traditional hospital admission for patients who present to the ED with symptoms compatible with ACS and a normal or inconclusive initial evaluation. Although patient subgroups such as women, diabetics, those with established CAD, and those with symptoms related to stimulant use present unique challenges, management in a chest pain unit appears to be appropriate in these populations. Judicious application of accelerated diagnostic protocols and current testing methods can promote safe, accurate, and cost-effective risk stratification of special populations to identify patients who can be safely discharged and patients who require hospital admission for further evaluation.
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine