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ED protocol for acute chest pain patients reduces cardiac testing, doubles early discharge

from TCTMD

A protocol called the HEART Pathway safely and effectively identifies patients presenting to the emergency department (ED) with acute chest pain who can safely be sent home early, according to single-center study published online March 3, ahead of print in Circulation: Cardiovascular Quality and Outcomes. The HEART score, a preexisting decision aid, consists of five components (history, ECG, age, risk factors and troponin) that are measured on a scale of 0-2. Patients with overall scores below 4 are considered low-risk, whereas those with scores of 4 and higher are high-risk. The HEART Pathway adds serial troponin measurements, assessing the biomarker not only at zero hours but also at three hours after presentation. more

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