Usefulness of predischarge cardiac testing in low risk women and men for safe, rapid discharge from a chest pain unit
American Journal of Cardiology Mar 15, 2019
Howell SJ, et al. - Researchers evaluated the utility of predischarge cardiac testing (PDT) in consecutive low risk women and men assessed in the chest pain unit (CPU) over a 2-year period. Among 619 patients (54% women), researchers compared the utilization of PDT (exercise treadmill test, myocardial stress perfusion scintigraphy, exercise stress echocardiography, invasive coronary angiography, or no test) and incidence of major adverse cardiac events (MACE) at 30 days and 6 months. Findings revealed safe and quick discharge was possible for many low-risk women and men evaluated in a CPU for acute coronary syndrome without PDT and with low risk for MACE at 30 days and at 6 months. Significantly attenuated length of stay was found in relation to PDT exclusion; at the same time safety was maintained in terms of post-discharge MACE when PDT was excluded.
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