Chest Pain: Rule-out ACS

Chest pain is the second most common presentation in the emergency department with an estimated 5 million patients presenting annually. A large percentage of these patients are at a Low Risk for acute coronary syndrome and can be safely managed on an Outpatient basis. The EvidenceCare Low Risk Chest Pain pathway helps providers risk stratify their patient who present with chest pain that the provider does not have suspicion for Acute Coronary Syndrome (ACS). The strengths and limitations of 5 risk stratification tools (the HEART Score, HEARTS3, EDACS-ADP, and ADAPT-ADP) are reviewed. Each of these tools have been validated and have the ability to identify patients at Low Risk for Major Adverse Cardiac Event (MACE) within the next 30 days. Armed with EvidenceCare, providers can take this information to the bedside to have a meaningful shared-decision making discussion with their patient.

Amal Mattu, MD
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