Diagnosis and risk stratification of chest pain patients in the emergency department: focus on acute coronary syndromes. A position paper of the Acute Cardiovascular Care Association

Janina Stepinska; Maddelena Lettino; Ingo Ahrens; Hector Bueno; Luis Garcia-Castrillo; Abdo Khoury; Patrizio Lancellotti; Christian Mueller; Thomas Muenzel; Anna Oleksiak; Roberta Petrino; Maria Rubini Guimenez; Doron Zahger; Christiaan Jm Vrints; Sigrun Halvorsen; Elia de Maria; Gregory Yh Lip; Roberta Rossini; Marc Claeys; Kurt Huber

doi:10.1177/2048872619885346

Diagnosis and risk stratification of chest pain patients in the emergency department: focus on acute coronary syndromes. A position paper of the Acute Cardiovascular Care Association

Eur Heart J Acute Cardiovasc Care. 2020 Feb;9(1):76-89. doi: 10.1177/2048872619885346. Epub 2020 Jan 20.

Authors

Janina Stepinska¹, Maddelena Lettino², Ingo Ahrens³, Hector Bueno⁴, Luis Garcia-Castrillo⁵, Abdo Khoury⁶, Patrizio Lancellotti⁷, Christian Mueller⁸, Thomas Muenzel⁹, Anna Oleksiak¹, Roberta Petrino¹⁰, Maria Rubini Guimenez⁸, Doron Zahger¹¹, Christiaan Jm Vrints¹², Sigrun Halvorsen, Elia de Maria, Gregory Yh Lip, Roberta Rossini, Marc Claeys, Kurt Huber

Affiliations

¹ Department of Intensive Cardiac Therapy, Institute of Cardiology, Poland.
² Cardiovascular Department, Humanitas Research Hospital, Italy.
³ Department of Cardiology and Medical Intensive Care, Augustinerinnen Hospital, Germany.
⁴ Cardiology Department, Hospital Universitario 12 de Octubre and Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), Madrid, Spain and Centro Nacional de Investigaciones Cardiovasculares (CNIC), Spain.
⁵ Emergency Department, Marques de Valdecilla Hospital, Spain.
⁶ Department of Emergency Medicine and Critical Care Clinical Investigation Center, University Hospital of Besançon, France.
⁷ Department of Cardiology, University of Liège Hospital, Belgium.
⁸ Cardiovascular Research Institute, University Hospital of Basel, Switzerland.
⁹ Universitätsmedizin Mainz, Zentrum für Kardiologie, Germany.
¹⁰ Emergency Department, S Andrea Hospital, Italy.
¹¹ Department of Cardiology, Soroka University Medical Center, Israel.
¹² Department of Cardiology, Antwerp University Hospital Belgium.

PMID: 31958018
DOI: 10.1177/2048872619885346

Abstract

This paper provides an update on the European Society of Cardiology task force report on the management of chest pain. Its main purpose is to provide an update on the decision algorithms and diagnostic pathways to be used in the emergency department for the assessment and triage of patients with chest pain symptoms suggestive of acute coronary syndromes.

Keywords: Chest pain; acute myocardial infarction; biomarkers; troponin.

MeSH terms

Acute Coronary Syndrome / diagnosis*
Acute Coronary Syndrome / epidemiology
Acute Disease
Algorithms
Biomarkers / metabolism
Cardiology
Chest Pain / diagnosis*
Chest Pain / epidemiology
Decision Making
Emergency Service, Hospital / statistics & numerical data
Europe / epidemiology
Female
Humans
Male
Middle Aged
Myocardial Infarction / blood
Myocardial Infarction / diagnosis*
Patient Care Management / standards
Percutaneous Coronary Intervention / methods
Risk Assessment
ST Elevation Myocardial Infarction / diagnosis*
ST Elevation Myocardial Infarction / physiopathology
ST Elevation Myocardial Infarction / surgery
Societies, Medical / organization & administration
Triage
Troponin / blood

Substances

Biomarkers
Troponin