PMID: 22575295May 12, 2012Paper

Emergency physician estimates of the probability of acute coronary syndrome in a cohort of patients enrolled in a study of coronary computed tomographic angiography

CJEM
Chuen Peng LeeJohn T Nagurney

Abstract

Little information exists regarding how accurately emergency physicians (EPs) predict the probability of acute coronary syndrome (ACS). Our objective was to determine if EPs can accurately predict ACS in a prospectively identified cohort of emergency department (ED) patients who met enrolment criteria for a study of coronary computed tomographic angiography (CCTA) and were admitted for a "rule out ACS" protocol. A prospective observational pilot study in an academic medical centre was carried out. EPs caring for patients with chest pain provided whole-number estimates of the probability of ACS after clinical review. This substudy was part of the now published Rule Out Myocardial Infarction/Ischemia Using Computer Assisted Tomography (ROMICAT) study, a study of CCTA and admission of patients for a rule out ACS protocol after a nondiagnostic evaluation. Predictions were grouped into probability groups based on the validated Goldman criteria. ACS was determined by an adjudication committee using American Heart Association/American College of Cardiology/European Society of Cardiology guidelines. A total of 334 predictions were obtained for a study population with a mean age of 54 (SD 12) years, 63% of whom were male. There were 35 ...Continue Reading

References

Aug 1, 1989·Circulation·E Braunwald
Mar 31, 1988·The New England Journal of Medicine·L GoldmanG Terranova
Sep 1, 1994·Journal of Accident & Emergency Medicine·E R SnoeyP Hericord
Jan 1, 1997·Annals of Emergency Medicine·J L TatumJ P Ornato
Apr 20, 2000·The New England Journal of Medicine·J H PopeH P Selker
Jul 6, 2000·Circulation·C W Hamm, E Braunwald
Aug 11, 2000·JAMA : the Journal of the American Medical Association·E M AntmanE Braunwald
Nov 10, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·W J BradyE Ullman
Jun 19, 2001·Current Cardiology Reports·K A Thygesen, J S Alpert
Feb 12, 2002·The American Journal of Medicine·Brendan M ReillyYue Wang
Mar 29, 2002·Annals of Emergency Medicine·William G BaxtJudd E Hollander
May 6, 2003·Annals of Internal Medicine·Stephen M SalernoHerbert S Waxman
Mar 11, 2004·The American Journal of Emergency Medicine·Brian F ErlingWilliam J Brady
Nov 24, 2005·JAMA : the Journal of the American Medical Association·Clifford J Swap, John T Nagurney
Nov 26, 2005·Annals of Emergency Medicine·David A KatzHarry P Selker
Jan 3, 2006·Annals of Emergency Medicine·Jim ChristensonJoel Singer
Oct 24, 2006·AJR. American Journal of Roentgenology·Udo HoffmannJohn T Nagurney
Jun 28, 2007·Journal of General Internal Medicine·Alexander R GreenMahzarin R Banaji
Feb 28, 2009·Heart·D BriegerUNKNOWN Global Registry of Acute Coronary Events Investigators
Aug 28, 2009·The New England Journal of Medicine·Till KellerStefan Blankenberg
Aug 28, 2009·The New England Journal of Medicine·David A Morrow

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.