Is telemetry monitoring necessary in low-risk suspected acute chest pain syndromes?
GROUND: Non-ICU telemetry monitoring has proven to be a valuable resource for patients suspected of having an acute myocardial infarction. While a significant number of patients are admitted to these units, the actual incidence of events or interventions is low. OBJECTIVE: To identify a subset of patients in whom telemetry monitoring does not alter management. DESIGN: Prospective observational study. SETTING: Large tertiary care facility. PATIENTS: A total of 414 patients consecutively admitted from the emergency department for suspected acute coronary syndromes were studied. Patients were excluded if they presented with ST-segment elevations, were revascularized on hospital admission, were admitted to a surgical service, were transferred from another floor or unit, or remained in the emergency department for the course of the stay. OUTCOMES: Events were defined as development of myocardial infarction, episodes of chest pain, new or rapid atrial arrhythmias, ventricular arrhythmias, an
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- WHAT IS THE RISK OF ACUTE MYOCARDIAL INFARCTION IN AMPHETAMINE-INDUCED CHEST PAIN PRESENTING TO THE EMERGENCY DEPARTMENT?
- how can diagnosis of chest pain of acute pericarditis than chest pain of acute myocardial infarction?
- Is telemetry monitoring necessary in low-risk suspected acute chest pain syndromes?
