The second edition of this book provides scientific and clinical insights on the management of patients who arrive at the hospital with a presentation consistent with a potential acute coronary syndrome. Focusing on the cardiology aspects of chest pain, it presents the science and methodology that has allowed the remarkable improvements in diagnostic accuracy and improved patient outcomes for the evaluation of patients presenting with suspected acute coronary syndromes. Chapters address key issues of the implementation of high sensitivity troponin and the use of contemporary non-invasive myocardial perfusion evaluation technologies (e.g., coronary artery computed tomography). It also addresses the cutting edge application of new technologies that promise to effect the early identification of coronary vascular disease. This new edition offers updated chapters as well as brand new chapters.

Short Stay Management of Chest Pain is a valuable tool for acute care physicians, nurses, and hospital administrators devoted to caring for this population.

Autorentext

Margarita E. Pena, MD FACEP is the Medical Director of the Clinical Decision Unit and Associate Program Director at Ascension St. John Hospital, and a professor of Emergency Medicine at the Wayne State University School of Medicine in Detroit, Michigan. She has published manuscripts and book chapters in Observation and Emergency Medicine, is co-director of the Observation Medicine - Science and Solutions conference, and recipient of the 2010 Emergency Physician of the Year Award by the Michigan College of Emergency Physicians. Anwar Osbourne MD MPM FACEP is an Assistant Program Director for Emergency Medicine at Emory University School of Medicine, Observation Medicine Rotation director, and Director of Resident Research Contributions. As an Associate Professor of both Emergency Medicine and Emergency Medicine, he has worked extensively with national cardiac quality initiatives with both the American College of Cardiology and the Society of Cardiovascular Patient Care. He is a past chair of the Observation Medicine Section of ACEP and is a co-director of the Observation Medicine Science and Solutions conference. >600 publications, he is a two-time winner of the Best Research Paper of the Year Award from the American College of Emergency Physicians, and the 2019 Ray Bahr Award for Excellence from the American College of Cardiology. Finally, he is the founder of Comprehensive Research Associates, LLC, and Emergencies in Medicine, LLC.

Inhalt

1. Epidemiology and Demographics of Coronary Artery Disease Shahriar Dadkhah, MD, FACP, FACC Korosh Sharain, MA 2. Financial Impact of Acute Coronary SyndromesSandra Sieck, RN, MBA, Chris Baugh, MD FACEP 3. Billing for Short Stay Chest Pain services Mike Granovsky, MD, FACEP 4. Why have Chest Pain Patients in a Short Stay Unit? Michael A. Ross, MD FACEP, FACC, Raymond Bahr, MD, FACC 5. What is the Value of Accreditation in Cardiology?David Winchester, MD, FACC, Deepak Bhatt, MD, FACC 6. Pathophysiology and Definition of Acute Coronary Syndromes Ezra A. Amsterdam, MD, Deborah Diercks, MD J. Douglas Kirk, MD, FACEP 7. Emergency Department Presentation of Chest PainJeffrey A. Holmes, MD Sean Collins, MD, MSc 8. Chest Pain Risk Stratification by History, Physical, and EKG Alan B. Storrow, MD, Ian McClure, MD, Elizabeth Harbison, MD Jason Stopyra 9. The Role of Biomarkers Chest Pain EvaluationRobert H. Christenson, Ph.D., DABCC, FACB, Phil Levy, MD, FACEP, FACC, Kristin Newby, MD, FACC 10. Are Risk Scoring Systems Necessary? Judd E. Hollander, MD, FACEP Anna Marie Chang, MD 11. Emergency Department Disposition of Patients Presenting with Chest Pain Kelly Owens, MD Deborah B. Diercks, MD, MSc 12. Short Stay Unit Requirements Matt Wheatley, MD FACEP, Steve Deitelzweig, MD, FACP 13. Medical Therapy of Chest Pain Patients Managed in a Short Stay Unit James McCord, MD, FACC, David Lanfear, MD, FACC 14. Provocative Testing for the Evaluation of Patients with Chest PainJ. Douglas Kirk, MD, FACEP Michael C. Kontos, MD Ezra A. Amsterdam, MD 15. Use of Multi-slice CT for the Evaluation of Patients with Chest Pain Brian O'Neil, MD FACEP Michael J. Gallagher, M.D Gilbert L. Raff, MD, FACC 16. Use of MRI for the Evaluation of Patients with Chest Pain Brian O'Neil, MD FACEP Michael J. Gallagher, M.D Gilbert L. Raff, MD, FACC 17. New Technologies for the Evaluation of Acute Coronary Syndromes: Magnetocardiography Peter M. Hill, MD 18. Disposition from the Short Stay Unit Chris A Ghaemmaghami, MD William J. Brady, MD, Brian Hiestand, MD FACEP 19. Examples of Short Stay Chest Pain Protocols, Order Sheets and Discharge Instructions Lauren T. Southerland, MD