Evaluation of Chest Pain in the Emergency Department
Authors: W. Brian Gibler
Journal: Annals of Internal Medicine (1995)

Letters15 August 1995Evaluation of Chest Pain in the Emergency DepartmentW. Brian GiblerW. Brian GiblerAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-123-4-199508150-00016 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The recent editorial by Kaul and Abbott [1] promotes basic misconceptions on the care of patients with chest pain in the emergency department.Clinicians with specialized formal training in emergency medicine are required to identify a relatively small number of patients with acute ischemic coronary syndromes from a large undifferentiated population of patients reporting chest pain who present to the emergency department. Unless the cardiologists of a particular institution are willing to provide a constant physical presence in the emergency department to evaluate every patient with even a remote possibility of myocardial ischemia, emergency physicians are the ...References1. Kaul S, Abbott RD. Evaluation of chest pain in the emergency department (Editorial). Ann Intern Med. 1994; 121:976-8. Google Scholar2. Gibler WB, Gibler CD, Weinshenker E, Hedges JR, Barsan WG, Abbottsmith C. Myoglobin as an indicator of acute myocardial infarction. Ann Emerg Med. 1987; 16:851-6. Google Scholar3. Gibler WB, Young GP, Hedges JR, Lewis LM, Smith MS, Carleton SC, et al. Acute myocardial infarction in chest pain patients with nondiagnostic ECGs: Serial CK-MB sampling in the emergency department. The Emergency Medicine Cardiac Research Group. Ann Emerg Med. 1992; 21:504-12. Google Scholar4. National Heart Attack Alert Program Coordinating Committee 60 Minutes to Treatment Working Group. Emergency department: rapid identification and treatment of patients with acute myocardial infarction. Ann Emerg Med. 1994; 23:311-29. Google Scholar5. Gibler WB, Runyon JP, Levy RC, Sayre MR, Kacich R, Hattemer CR, et al. A rapid diagnostic and treatment center for patients with chest pain in the emergency department. Ann Emerg Med. 1995; 25:1-8. Google Scholar Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited by2012 ACCF/AHA Focused Update Incorporated Into the ACCF/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction2012 ACCF/AHA Focused Update Incorporated Into the ACCF/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction2011 ACCF/AHA Focused Update Incorporated Into the ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction2011 ACCF/AHA Focused Update Incorporated Into the ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial InfarctionACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial InfarctionACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial InfarctionClinical and Laboratory Diagnostics of Cardiovascular Disease: Focus on Natriuretic Peptides and Cardiac IschemiaACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction 15 August 1995Volume 123, Issue 4Page: 314-318KeywordsAcute myocardial infarctionCreatineElectrocardiographyEmergency departmentEmergency medicineIschemiaMyocardial infarctionPatientsSpecificitySports and exercise medicine ePublished: 15 August 2000 Issue Published: 15 August 1995 Copyright & PermissionsCopyright © 1995 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...