Impact of clinical predictors and routine coronary artery disease testing on outcome of patients admitted to chest pain decision unit.

ABSTRACT:

Background

Chest pain decision unit (CDU) evaluation of patients with acute chest pain (ACP) and nondiagnostic electrocardiogram (ECG) usually includes noninvasive testing for coronary artery disease (CAD).

Hypothesis

CAD evaluation will not improve clinical outcome in low-risk ACP patients.

Methods

We studied 459 adults admitted to CDU with ACP and no troponin release who underwent noninvasive CAD testing (stress testing in 396 and coronary computed tomographic angiography in 63). Multivariate logistic regression was used to determine predictors of adverse outcome over a 3-year follow-up period.

Results

Initial noninvasive test was normal in 367 (80%) and abnormal (positive or indeterminate) in 92 (20%). A total of 42 (9%) patients underwent invasive coronary

SUBMITTER: Cotarlan V 

PROVIDER: S-EPMC6649539 | biostudies-literature | 2014 Mar

REPOSITORIES: biostudies-literature