Rj. Zalenski et al., EVALUATION AND RISK STRATIFICATION OF PATIENTS WITH CHEST PAIN IN THEEMERGENCY DEPARTMENT - PREDICTORS OF LIFE-THREATENING EVENTS, Emergency medicine clinics of North America, 16(3), 1998, pp. 495
While assessing chest pain in the emergency department, physicians mus
t first estimate the probability of acute ischemic states in the patie
nt. This first estimate is based on the patient's history physical exa
mination, and electrocardiogram. Patients who meet the threshold for a
cute cardiac ischemia are further evaluated to confirm or exclude this
diagnosis, while other life-threatening factors are excluded.