Related Experiment Video
Updated: Apr 11, 2026

Ultrasonographic Assessment During Cardiopulmonary Resuscitation
Published on: October 24, 2020
Chest pain evaluation in the emergency department
Andrew J Foy1, Lisa Filippone2
1Division of Cardiology, Heart and Vascular Institute, Milton S. Hershey Medical Center, Penn State University, 500 University Drive, Hershey, PA 17033, USA.
Chest pain evaluation in the emergency department requires prompt recognition of acute coronary syndrome (ACS) symptoms. Advanced noninvasive testing for patients without ACS does not improve patient outcomes.
Area of Science:
- Cardiology
- Emergency Medicine
Background:
- Chest pain is a frequent emergency department presentation.
- Timely identification of acute coronary syndrome (ACS) is crucial for initiating effective treatment.
- Cardiac troponin tests diagnose myocardial infarction but not the underlying cause.
Purpose of the Study:
- To evaluate the utility of advanced, noninvasive testing in patients presenting with chest pain who rule out for ACS.
Main Methods:
- Review of diagnostic protocols for chest pain in emergency settings.
- Analysis of outcomes data for patients undergoing noninvasive testing after excluding ACS.
Main Results:
- Prompt recognition of ACS symptoms and ECG changes guides initial therapy.
- Cardiac troponin assays confirm acute myocardial infarction.
- Advanced noninvasive testing in patients without ACS did not correlate with improved patient outcomes.
Conclusions:
- Current diagnostic pathways for chest pain are effective for ACS identification.
- Further advanced testing for non-ACS chest pain presentations lacks demonstrated outcome benefits.
More Related Videos
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
18:11A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
Published on: December 28, 2012
Related Concept Videos
Angina III: Clinical Manifestations and Assessment
Angina V: Nursing Management
Imaging Studies for Cardiovascular System I:Echocardiography
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Introduction Cardiac Emergencies
Acute Coronary Syndrome III: Diagnostic Studies
Acute Coronary Syndrome V: Nursing Management