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Potential health promotion benefits of lipid testing for all patients presenting with chest pain to an emergency department

Elder, Charlotte, Kerr, Debra, Davey, Richard F. X and Kelly, Anne-Maree (2006) Potential health promotion benefits of lipid testing for all patients presenting with chest pain to an emergency department. Emergency Medicine Journal, 23 (1). pp. 23-26. ISSN 1472-0205 (print) 1472-0213 (online)

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Abstract

Objectives To establish the prevalence of previously undiagnosed dyslipidaemia in patients presenting to the emergency department (ED) with non‐traumatic chest pain and, more particularly, the prevalence in the subgroup which was discharged home from the ED, the group that traditionally would not have received a lipid test. Methods Prospective, observational study of adult patients presenting to an ED with non‐traumatic chest pain as the presenting complaint. Results A total of 185 eligible patients underwent lipid testing during their presentation: 96 in the ED and 89 in the wards. Overall 61% (n=112) of patients had at least one abnormal lipid level. Of patients discharged from the ED, 62% had at least one abnormal lipid level. Conclusions A moderate, but useful, increase in detection rates of dyslipidaemia is possible if lipid testing is offered to all patients presenting with chest pain, and not just to those who are admitted to wards for further investigation and management of suspected acute coronary syndromes. Testing of this group should be considered as a health promotion initiative in the ED, with appropriate follow up in the community.

Item Type: Article
Uncontrolled Keywords: chest pain, acute myocardial infarction, angina pectoris, coronary artery disease, chest pain, acute myocardial infarction, angina pectoris, coronary heart disease, lipid testing, suspected acute coronary syndrome, Apo B, apolipoprotein B, coronary heart disease, CHD emergency department, ED, high density lipoprotein cholesterol, HDL-C, low density lipoprotein cholesterol, LDL-C, National Heart Foundation, NHF, total cholesterol, TC
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: 03 May 2013 03:26
Last Modified: 03 Feb 2015 22:38
URI: http://vuir.vu.edu.au/id/eprint/21530
DOI: https://doi.org/10.1136/emj.2004.023184
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Citations in Scopus: 3 - View on Scopus

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