Emergency Room Guidelines Chest Pain

Approximately 7 million patients present to the emergency department ed each year with chest pain at an estimated cost of 5 billion 1 1. Chest pain is defined as the acute onset of pain tightness or pressure in the anterior thorax region between the suprasternal notch the xiphoid process and both midaxillary lines. The american heart association american college of cardiology guidelines recommend that patients who present to the emergency department ed with chest pain and who are at low risk for acute coronary syndrome acs based on their history electrocardiogram ecg findings and cardiac biomarkers should undergo diagnostic cardiac testing.

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Emergency room guidelines chest pain.

Emergency department clinical guidelines protocols the clinical guidelines and references provided on this website are developed by the department of emergency medicine at maine medical center. The information is believed but not guaranteed to be correct. Chest pain shouldn t be ignored. Although a cardiovascular cause may be present in up to 20 of patients presenting with chest discomfort only 5 5 of these patients have an acute life.

If the pain is something you ve never experienced before there are things you should consider when deciding if a visit to the hospital emergency room is necessary. Chest pain is one of the common symptoms of various cardiac and non cardiac diseases that rushes the patients to the physician s office and emergency department. Not all chest pain is life threatening. Chest pain accounts for approximately 7 6 million annual visits to emergency departments ed in the united states making chest pain the second most common complaint patients present with a spectrum of signs and symptoms reflecting the many potential etiologies of chest pain.

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