Chest Pain

 John Fudala MD

Clinical Questions

Which patient’s may we recommend for admission for ACS rule out? 

What is the evidence behind the HEART score? 

What is the evidence of obtaining a troponin at 0 and 3 hours(a delta troponin) in the ER on their 30 day risk of major adverse cardiac events? 

What is recommended in terms of follow up for patients with chest pain but are not believed to have evidence of a STEMI?


Let's Run through the Pathophysiology 

ACS-New Proposed Paradigm