Chest Pain

Lewis, William R.; Amsterdam, Ezra A.

doi:10.1007/978-1-4612-1796-1_5

Cited by 3 publications

(2 citation statements)

References 34 publications

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“…Depending on the diagnosis at discharge, the type of information com-prising this education will vary, since patients may have received a non-cardiac diagnosis. Common non-cardiac causes of chest pain include gastrointestinal, musculoskeletal, pulmonary, and psychological conditions [78]. Nurses must disperse adequate and understandable information to patients and their families.…”

Section: Dischargementioning

confidence: 99%

The Role of Nurses in a Chest Pain Unit

Siebens

Moons

Geest

et al. 2007

European Journal of Cardiovascular Nursing

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The chest pain unit (CPU) provides a service for patients at moderate-to-low risk for acute coronary syndrome (ACS). Although the number of CPUs has continued to grow worldwide, little has been written on the specific role and contribution of nursing in CPUs. The stay of patients in the CPU can be divided into six stages: triage, diagnosis, treatment, observation/monitoring, discharge, and follow-up. CPU nurses are in a unique position to promote evidence-based practice during all of these stages. Deeper insight into the unique role of nurses in CPUs will promote understanding of what type of knowledge, skills, and attitudes are required to provide the services that will contribute to improved quality of care for chest pain patients.

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Section: Dischargementioning

confidence: 99%

The Role of Nurses in a Chest Pain Unit

Siebens

Moons

Geest

et al. 2007

European Journal of Cardiovascular Nursing

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“…Safe and cost‐effective management of those patients who present with possible myocardial ischaemia continues to present a major clinical challenge. Although most cases might have less significant disorders such as gastro‐oesophageal, musculoskeletal or anxiety syndromes, 2,3 the risk of myocardial ischaemia results in a large number of admissions and investigations, with major costs to health systems, estimated to be above $3 billion annually in the USA 4 …”

Section: Introductionmentioning

confidence: 99%

Stress testing before discharge is not required for patients with low and intermediate risk of acute coronary syndrome after emergency department short stay assessment

Rahman

Mitra

Cameron

et al. 2010

Emerg Medicine Australasia

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The present study showed that an ED short stay unit can effectively evaluate and manage patients with low and intermediate risk of ACS. The study suggests that patients with low and intermediate risk for ACS might safely be discharged after normal serial ECG and cardiac biomarkers, with a view to early outpatient stress testing. With strict adherence to admission criteria, there does not appear to be any benefit of stress testing before discharge.

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