Follow - up care after an emergency room
visit for chest pain significantly reduced the risk of heart attack or death among high risk patients.
The study is the first to demonstrate the importance of follow - up
care for chest pain patients after leaving the ER, researchers said.
Nationwide, the overwhelming majority of patients evaluated
for chest pain in the ER get such extra tests, Brown said.
The favorable effects on cholesterol did not translate into any reduction in the study's primary endpoint: the amount of time until cardiovascular death, heart attack, stroke, coronary artery bypass surgery or
hospitalization for chest pain due to unstable angina, a restriction in the flow of blood through the heart's arteries.
The number of patients treated with nitroglycerin, a drug
used for chest pain and heart failure, increased by 89 percent.
«More studies need to be conducted to clarify the best testing strategy for low - risk patients being
evaluated for chest pain in the ED.
With 10 million patients coming to the
ER for chest pain each year in the United States, these extra costs add up, according to the investigators.
The woman was admitted to the
hospital for chest pains in February 2009; she was examined and admitted for further testing.
«This study has broader implications for the health care system, as most hospitals continue to redundantly test
people for chest pain and other symptoms,» says report author Jeffrey C. Trost, M.D., an assistant professor of medicine, director of the cardiac catheterization laboratory and co-director of interventional cardiology at Johns Hopkins Bayview Medical Center.
Seeing a doctor within a month of an emergency room visit
for chest pain significantly reduced the risk of heart attack or death among high risk patients, according to research published the American Heart Association journal Circulation.
Clinical judgement, combined with an electrocardiogram (ECG) and blood test on arrival, is effective in reducing unnecessary hospital
admissions for chest pain, a new study shows.
The researchers looked at data from 45,416 emergency department visits
for chest pain at three Columbus - area hospitals between July 2008 and June 2013.
Patients seen in the emergency department (ED)
for chest pain who did not have a heart attack appeared to be at low risk of experiencing a heart attack during short - and longer - term follow - up and that risk was not affected by the initial diagnostic testing strategy, according to a study published online by JAMA Internal Medicine.
Additionally, Weinstock and his team believe current national guidelines to routinely admit, observe and test patients after a clean emergency department
evaluation for chest pain should be reconsidered.
About 6 million patients are seen in EDs
annually for chest pain or other symptoms suggestive of myocardial ischemia (decreased blood flow to the heart).
The study included 22,917 patients from 19 medical centers in Ontario, Canada, who received a diagnosis of stable coronary artery disease following coronary
angiogram for chest pain (chronic stable angina) between Oct. 1, 2008, and Sept. 30, 2013.
During the study, a total of 369 people had heart attacks (some of them fatal) or were diagnosed with heart disease after seeking medical
attention for chest pain.
Zocor (simvastatin) can't exceed 20 milligrams if it is prescribed with the blood - pressure drug amlodipine,
ranolazine for chest pain, or amiodarone, an anti-arrhythmic drug.
Sometimes doctors also prescribe cholesterol medications (statins) to reduce the buildup of cholesterol on the valve or in the vessel, or they might prescribe thrombolytics (clot - busters) or
nitrates for chest pain.
If I ask if you ever been diagnosed with or
treated for chest pain, high blood pressure, heart murmur, heart attack, high cholesterol, stroke or other disorder of the heart or circulatory system and I don't specifically ask about POTS, Postural orthostatic tachycardia syndrome, you could sort of round it off and say no to that questions.
Recovery and outcomes were assessed in several ways: MACE (major adverse cardiac events, ranging from
hospitalization for chest pain to death), ejection fraction, measured by magnetic resonance imaging, and perfusion or blood flow in the heart, measured by SPECT imaging.
Beta blockers such as metoprolol are widely prescribed to treat high blood pressure, but they're also
used for chest pain, irregular heartbeat, migraine, some tremors, and even glaucoma.
«Anyone who goes to the
ER for chest pain and gets sent home should make an appointment to see their primary care doctor to talk about their recent hospital visit.
Yes, when I am in clinic and call 911 for ambulance transport to the hospital (
for chest pain, respiratory distress etc) they always send both the police and the ambulance.
Current guidelines strongly suggest that patients discharged from emergency departments
for chest pain should be seen by a physician within 72 hours for further assessment or treatment.
Patients with multiple health issues and who are at higher risk of adverse events are less likely to receive follow - up care from a physician after visiting an emergency department
for chest pain, reports a study published in CMAJ (Canadian Medical Association Journal)
To track search queries, researchers analyzed how frequently people in the U.S., United Kingdom and Australia used Google to search
for chest pain, chest discomfort, chest pressure or angina (a medical term for chest pain) between 2012 and 2017.
Overall, chelation therapy modestly reduced bad outcomes (hospitalization
for chest pain, stroke, heart attack, and need for a stent) compared to the placebo group.