Emergency Evaluation of Acute Ischemic Coronary Syndrome

  • W. B. Gibler
  • M. R. Sayre
Conference paper
Part of the Yearbook of Intensive Care and Emergency Medicine book series (YEARBOOK, volume 1997)


The accurate diagnosis and management of patients with chest pain in the emergency department (ED) is important and challenging. Approximately four million patients are admitted across the United States each year for possible acute ischemic coronary syndrome (AICS). Of these patients, about 300000 will suffer sudden death, and 900 000 will be diagnosed with an acute myocardial infarction (AMI). Another 900 000 patients will be diagnosed with angina or unstable angina. More than 2 000 000 patients will be found to have other causes for their chest pain. The goal for the clinician is to admit the patient who truly has a life-threatening disease while avoiding the inappropriate release of patients to home who have AMI because of the potential for these individuals to suffer morbidity and mortality. This must be accomplished while decreasing the overall number of patients admitted with a noncardiac cause of their symptoms. Chest pain centers have evolved over the last 15 years which can accomplish these goals.


Chest Pain Acute Myocardial Infarction Acute Myocardial Infarction Unstable Angina Wall Motion Abnormality 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • W. B. Gibler
  • M. R. Sayre

There are no affiliations available

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