Short Stay Management of Chest Pain

by Peacock, William Franklin; Cannon, Christopher P., M.D.

• ISBN13: 9781603279475
• ISBN10: 1603279474
• Edition: 1st
• Format: Hardcover
• Copyright: 2009-06-23
• Publisher: Humana Pr Inc

Summary

Acute coronary syndrome (ACS) continues to challenge our health care system in the complexity of presentation and the ever increasing number of patients exhibiting signs and symptoms of an acute coronary syndrome. Written by leading experts, Short Stay Management of Chest Pain 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, Short Stay Management of Chest Pain is a valuable tool for acute care physicians, nurses, and hospital administrators devoted to caring for this population. Short Stay Management of Chest Pain details the remarkable improvements in diagnostic accuracy and improved patient outcomes for patients presenting with suspected acute coronary syndromes.

Table of Contents

Epidemiology and Demography of Coronary Artery Disease	p. 1
Financial Impact of Acute Coronary Syndromes: The Need for New Care Delivery Models	p. 15
Why Have a Chest Pain Unit?	p. 37
Pathophysiology and Definition of the Acute Coronary Syndromes	p. 55
Emergency Department Presentation	p. 67
Risk Stratification: History, Physical, and EKG	p. 79
Cardiac Markers: A Chest Pain Center Focus	p. 91
Risk Stratification Using Scoring Systems	p. 115
Emergency Department Disposition of Patients Presenting with Chest Pain	p. 125
Short-Stay Unit Requirements	p. 143
Medical Therapy in Patients Managed in a Chest Pain Observation Unit	p. 147
Provocative Testing	p. 155
Use of Multislice CT and MRI for the Evaluation of Patients with Chest Pain	p. 185
Disposition from the Short Stay Unit	p. 205
Examples of Patient Discharge Instructions, ACS Rule Out Protocols, and Order Sheets	p. 219
Index	p. 263
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