A clinical risk score identified high-risk patients with chest pain but no ST-segment deviation and normal troponin levels

July 2007
ACP Journal Club;Jul/Aug2007, Vol. 147 Issue 1, p25
Academic Journal
The article cites a research study on clinical risk score identification of high-risk patients with suspected acute coronary syndromes. However, the patients have no ST-segment deviation and normal troponin levels. The study found that the risk for death or myocardial infarction, at both 30 days and longer term, was lowest in the group with no ST-segment deviation and normal troponin levels that was categorized by the clinical risk score as low risk. The other groups did not differ.


Related Articles

  • A clinical risk score identified high-risk patients with chest pain but no ST-segment deviation and normal troponin levels: COMMENTARY. Lang, Eddy // ACP Journal Club;Jul/Aug2007, Vol. 147 Issue 1, p25 

    The article presents the author's comments on a research study conducted by J. Satichis and his colleagues on clinical risk score (CSR) identification of patients with suspected chest pain. The author says that the study points to the potential value of a 5-item CRS in identifying high- and...

  • A Systematic Review of Troponin T and I Values as a Prognostic Tool for Patients with Chest Pain. Ebell, Mark H.; White, Linda L.; Weismantel, David // Journal of Family Practice;Aug2000, Vol. 49 Issue 8, p746 

    CLINICAL QUESTION: How accurate are troponin T and I values for determining the prognosis of patients presenting with acute chest pain syndromes? OBJECTIVE: The accuracy of the troponin T and I test as a prognostic tool for patients with chest pain varies considerably depending on the patient...

  • Risk prediction in patients presenting with suspected cardiac pain: the GRACE and TIMI risk scores versus clinical evaluation. G. Ramsay; M. Podogrodzka; C. McClure; K.A.A. Fox // QJM: An International Journal of Medicine;Jan2007, Vol. 100 Issue 1, p11 

    Background: Identifying which patients presenting with undifferentiated chest pain are at risk of major cardiac events is a major clinical challenge. Clinical evaluation may lack sufficient precision, leading to unnecessary admission or inappropriate discharge. It is uncertain whether risk...

  • Chest pain units. Clancy, Mike // BMJ: British Medical Journal (International Edition);7/20/2002, Vol. 325 Issue 7356, p116 

    Discusses the usefulness of chest pain units in emergency departments in Great Britain. Idea that patients presenting with chest pain are a burden to the National Health Service (NHS); Use of patient history, electrocardiogram (ECG), and clinical examination to determine the cause of pain;...

  • Value and Limitations of Chest Pain History in the Evaluation of Patients With Suspected Acute Coronary Syndromes. Swap, Clifford J.; Nagurney, John T. // JAMA: Journal of the American Medical Association;11/23/2005, Vol. 294 Issue 20, p2623 

    Context The chest pain history, physical examination, determination of coronary artery disease (CAD) risk factors, and the initial electrocardiogram compose the information immediately available to clinicians to help determine the probability of acute myocardial infarction (AMI) or acute...

  • TIMI risk score accurately risk stratifies patients with undifferentiated chest pain presenting to an emergency department. Morris, A. Conway; Caesar, D.; Gray, S.; Gray, A. // Heart;Sep2006, Vol. 92 Issue 9, p1333 

    The article determines the relationship between Thrombolysis in Myocardial Infarction (TIMI) score and outcomes in an undifferentiated chest pain population. The study took place in a single urban teaching hospital emergency department with 85,000 adult attendances yearly. It is noted that the...

  • A Case of Acute Myocarditis with Evaluation of Magnetic Resonance Imaging. Savas Tepe; James Glockner // International Journal of Cardiovascular Imaging;Apr2007, Vol. 23 Issue 2, p233 

    Abstract??A 42-year-old male with acute chest pain referred for acute myocarditis versus myocardial infarction (MI) was examined with magnetic resonance imaging (MRI). Clinical presentation and MRI findings are reviewed.

  • Isolated Hydatid Cyst In Left Ventricle Presenting As Coronary Artery Disease. Darbari, Anshuman; Kumar, Ambrish; Tandon, Shekhar // Internet Journal of Thoracic & Cardiovascular Surgery;2006, Vol. 8 Issue 1, p9 

    Hydatid cyst of the heart is an uncommon lesion. A 72 years old female with chest pain and a single episode of syncope was admitted. Initial ECG showed acute anterior wall myocardial infarction. 2D echocardiography and computed tomography scan of thorax showed a cystic lesion in left ventricle,...

  • Myocardial Infarction Symptom Presentation. Boyle, Andrew J. // Internal Medicine Alert;5/29/2012, Vol. 34 Issue 10, p76 

    The authors conclude that in patients hospitalized with myocardial infarction, women were more likely than men to present without chest pain and had higher mortality than men within the same age group.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics