Pragmatic approach to chest pain patients discharged with undetectable high-sensitivity troponin T and normal electrocardiogram: the STABS + CT protocol
journal contribution
posted on 2023-05-19, 19:06authored byBishop, W, Girao, G
A strategy that discharges chest pain patients with negative high-sensitivity troponin and non-ischaemic electrocardiography changes may still result in 0.44% of patients experiencing myocardial infarction within 30 days. We observed that a pragmatic approach that systematically discharged 25 patients on cardio-protective medications of aspirin, metoprolol and atorvastatin followed with prompt (< 10 days) coronary computed tomography angiography resulted in no major adverse cardiac event and adverse drug reaction 30 days post-presentation. The strategy resulted in three patients (12%) ultimately diagnosed with likely unstable angina, which required planned coronary intervention in two patients and medical management in one patient. No unplanned readmissions for chest pains were noted from initial presentation through to 6-month follow up.
History
Publication title
Internal Medicine Journal
Volume
47
Issue
6
Pagination
698-701
ISSN
1444-0903
Department/School
Menzies Institute for Medical Research
Publisher
Blackwell Publishing Asia
Place of publication
54 University St, P O Box 378, Carlton, Australia, Victoria, 3053
Rights statement
Copyright 2017 Royal Australasian College of Physicians