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Is cardiac monitoring necessary for intermediate risk acute coronary syndrome patients who have a normal electrocardiogram and cardiac markers in the emergency department

Hoi, K, Kerr, Debra and Kelly, Anne-Maree (2007) Is cardiac monitoring necessary for intermediate risk acute coronary syndrome patients who have a normal electrocardiogram and cardiac markers in the emergency department. Hong Kong Journal of Emergency Medicine, 14 (1). pp. 6-9. ISSN 1024-9079

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Abstract

This study aimed to investigate the safety of managing selected patients with suspected acute coronary syndrome without cardiac monitoring by determining the rate of complications occurring in chest pain patients classified as intermediate risk according to the National Heart Foundation of Australia guidelines and with normal cardiac marker levels and a normal/unchanged ECG in the emergency department. One patient suffered a critical adverse event within 24 hours (0.3%, 95% CI 0.1-1.7%) and 24 patients suffered other adverse events (6.3%, 95% CI 4.2-9.4%). This study provides further evidence that this group of patients are at low risk of experiencing a critical adverse event within 24 hours of hospital presentation and may be safely managed without continuous cardiac monitoring.

Item Type: Article
Uncontrolled Keywords: chest pain, heart disease, physiologic monitoring, troponin, National Heart Foundation of Australia guidelines, NHF guidelines, risk stratification, acute coronary syndromes, ACS
Subjects: Faculty/School/Research Centre/Department > School of Biomedical and Health Sciences
FOR Classification > 1102 Cardiorespiratory Medicine and Haematology
FOR Classification > 1103 Clinical Sciences
Depositing User: Yimin Zeng
Date Deposited: 06 May 2013 07:06
Last Modified: 07 May 2013 04:20
URI: http://vuir.vu.edu.au/id/eprint/21522
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Citations in Scopus: 0 - View on Scopus

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