Identification of very low risk chest pain using clinical data in the emergency department

The efficacy and safety of a chest pain protocol for short stay unit patients: A one year follow-up

“…Our results are consistent with previously reported low rates of unstable angina or MI among patients with low or intermediate risk of ACS. 26,27 Such results had been used to validate the safety of low-to-intermediate risk patients being discharged home without inpatient stress testing 22,28 and supported nurse-led rapid access chest pain clinics where alternate diagnoses did not need to be considered. 29 However, ongoing health care utilisation in relation to chest pain suggests that current management is suboptimal with regards to patient satisfaction and efficiency.…”

“…Although many of the studies have demonstrated reduced risk of ACS and AMI, they do not discuss how or what patient education has taken place. 2,28 Most patients with chest pain seek emergency care because they perceive their condition to be life threatening. The importance of confirming a non-cardiac diagnosis in reassuring such patients has previously been highlighted.…”