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An accelerated diagnostic protocol for the early, safe discharge of low-risk chest pain patients
Tawfeeq Altherwi1, Willis B Grad1
1*Department of Emergency Medicine,Jewish General Hospital,McGill University,Montreal,QC.
Clinical Question:
Can an accelerated 2-hour diagnostic protocol using the cardiac troponin I (cTnI) measurement as the only biomarker be implemented to allow an earlier and safe discharge of low-risk chest pain patients?
Article Chosen:
Than M, Cullen L, Aldous S, et al. 2-Hour accelerated diagnostic protocol to assess patients with chest pain symptoms using contemporary troponins as the only biomarker: the ADAPT trial. J Am Coll Cardiol 2012;59(23):2091-8.
Objective:
To determine whether an accelerated diagnostic protocol (ADP) for possible cardiac chest pain could identify low-risk patients suitable for early discharge using cTnI as the sole biomarker.
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