Utility of the History and Physical Examination in the Detection of Acute Coronary Syndromes in Emer...

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" Utility of the History and Physical Examination in the Detection of Acute Coronary Syndromes in Emergency Department Patients "
Dezman, Zachary DW; Mattu, Amal; Body, Richard

Document Type	:	AL
Record Number	:	933146
Doc. No	:	LA7qf169d9
Language of Document	:	English
Main Entry	:	Dezman, Zachary DW; Mattu, Amal; Body, Richard
Title & Author	:	Utility of the History and Physical Examination in the Detection of Acute Coronary Syndromes in Emergency Department Patients [Article]\ Dezman, Zachary DW; Mattu, Amal; Body, Richard
Title of Periodical	:	Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Volume/ Issue Number	:	18/4
Date	:	2017
Abstract	:	Chest pain accounts for approximately 6% of all emergency department (ED) visits and is the mostcommon reason for emergency hospital admission. One of the most serious diagnoses emergencyphysicians must consider is acute coronary syndrome (ACS). This is both common and serious,as ischemic heart disease remains the single biggest cause of death in the western world. Thehistory and physical examination are cornerstones of our diagnostic approach in this patient group.Their importance is emphasized in guidelines, but there is little evidence to support their supposedassociation. The purpose of this article was to summarize the findings of recent investigationsregarding the ability of various components of the history and physical examination to identify whichpatients presenting to the ED with chest pain require further investigation for possible ACS.