Updating the chest pain algorithm: Incorporating new evidence

Neil Goyal; Jennifer Stant; Francesca Esposito; Gina Piri; Michael Collins; Osman Sayan; Gerald Neuberg; Leslie Miller; Jeffery W. Moses; Gregg W. Stone; James Giglio; Leroy E. Rabbani

doi:10.1097/HPC.0b013e31818e506b

Updating the chest pain algorithm: Incorporating new evidence

Neil Goyal, Jennifer Stant, Francesca Esposito, Gina Piri, Michael Collins, Osman Sayan, Gerald Neuberg, Leslie Miller, Jeffery W. Moses, Gregg W. Stone, James Giglio, Leroy E. Rabbani

Research output: Contribution to journal › Review article › peer-review

6 Scopus citations

Abstract

In 2003, we published our chest pain protocol for the management of acute coronary syndromes (ACSs) and acute myocardial infarction. Our algorithm was specifically designed for our institution, which was primary percutaneous coronary intervention (PCI) for all ST-elevation myocardial infarctions (STEMIs) and a preferred invasive approach for non-STEMIs. Since 2003, there have been numerous changes in the adjunctive pharmacotherapeutic armamentarium for PCI in both the STEMI and non-STEMI ACS context. We present our updated chest pain algorithm with a brief review of the rapidly evolving changes in adjunctive pharmacotherapy for PCI and provide a rationale for the changes that we have made to our institutional protocol. Clinical pathways need to be consistently updated and revises by incorporating new evidence from clinical trials in order to maintain clinical relevance.

Original language	English
Pages (from-to)	211-222
Number of pages	12
Journal	Critical Pathways in Cardiology
Volume	7
Issue number	4
DOIs	https://doi.org/10.1097/HPC.0b013e31818e506b
State	Published - Dec 2008
Externally published	Yes

Keywords

Acute coronary syndromes
Acute myocardial infarction
Clinical pathways

Access to Document

10.1097/HPC.0b013e31818e506b

Cite this

@article{31b321914df74d0987442b47a0277eaf,

title = "Updating the chest pain algorithm: Incorporating new evidence",

abstract = "In 2003, we published our chest pain protocol for the management of acute coronary syndromes (ACSs) and acute myocardial infarction. Our algorithm was specifically designed for our institution, which was primary percutaneous coronary intervention (PCI) for all ST-elevation myocardial infarctions (STEMIs) and a preferred invasive approach for non-STEMIs. Since 2003, there have been numerous changes in the adjunctive pharmacotherapeutic armamentarium for PCI in both the STEMI and non-STEMI ACS context. We present our updated chest pain algorithm with a brief review of the rapidly evolving changes in adjunctive pharmacotherapy for PCI and provide a rationale for the changes that we have made to our institutional protocol. Clinical pathways need to be consistently updated and revises by incorporating new evidence from clinical trials in order to maintain clinical relevance.",

keywords = "Acute coronary syndromes, Acute myocardial infarction, Clinical pathways",

author = "Neil Goyal and Jennifer Stant and Francesca Esposito and Gina Piri and Michael Collins and Osman Sayan and Gerald Neuberg and Leslie Miller and Moses, {Jeffery W.} and Stone, {Gregg W.} and James Giglio and Rabbani, {Leroy E.}",

year = "2008",

month = dec,

doi = "10.1097/HPC.0b013e31818e506b",

language = "English",

volume = "7",

pages = "211--222",

journal = "Critical Pathways in Cardiology",

issn = "1535-282X",

publisher = "Lippincott Williams and Wilkins Ltd.",

number = "4",

}

TY - JOUR

T1 - Updating the chest pain algorithm

T2 - Incorporating new evidence

AU - Goyal, Neil

AU - Stant, Jennifer

AU - Esposito, Francesca

AU - Piri, Gina

AU - Collins, Michael

AU - Sayan, Osman

AU - Neuberg, Gerald

AU - Miller, Leslie

AU - Moses, Jeffery W.

AU - Stone, Gregg W.

AU - Giglio, James

AU - Rabbani, Leroy E.

PY - 2008/12

Y1 - 2008/12

N2 - In 2003, we published our chest pain protocol for the management of acute coronary syndromes (ACSs) and acute myocardial infarction. Our algorithm was specifically designed for our institution, which was primary percutaneous coronary intervention (PCI) for all ST-elevation myocardial infarctions (STEMIs) and a preferred invasive approach for non-STEMIs. Since 2003, there have been numerous changes in the adjunctive pharmacotherapeutic armamentarium for PCI in both the STEMI and non-STEMI ACS context. We present our updated chest pain algorithm with a brief review of the rapidly evolving changes in adjunctive pharmacotherapy for PCI and provide a rationale for the changes that we have made to our institutional protocol. Clinical pathways need to be consistently updated and revises by incorporating new evidence from clinical trials in order to maintain clinical relevance.

AB - In 2003, we published our chest pain protocol for the management of acute coronary syndromes (ACSs) and acute myocardial infarction. Our algorithm was specifically designed for our institution, which was primary percutaneous coronary intervention (PCI) for all ST-elevation myocardial infarctions (STEMIs) and a preferred invasive approach for non-STEMIs. Since 2003, there have been numerous changes in the adjunctive pharmacotherapeutic armamentarium for PCI in both the STEMI and non-STEMI ACS context. We present our updated chest pain algorithm with a brief review of the rapidly evolving changes in adjunctive pharmacotherapy for PCI and provide a rationale for the changes that we have made to our institutional protocol. Clinical pathways need to be consistently updated and revises by incorporating new evidence from clinical trials in order to maintain clinical relevance.

KW - Acute coronary syndromes

KW - Acute myocardial infarction

KW - Clinical pathways

UR - http://www.scopus.com/inward/record.url?scp=58249087352&partnerID=8YFLogxK

U2 - 10.1097/HPC.0b013e31818e506b

DO - 10.1097/HPC.0b013e31818e506b

M3 - Review article

C2 - 19050417

AN - SCOPUS:58249087352

SN - 1535-282X

VL - 7

SP - 211

EP - 222

JO - Critical Pathways in Cardiology

JF - Critical Pathways in Cardiology

IS - 4

ER -

Updating the chest pain algorithm: Incorporating new evidence

Abstract

Keywords

Access to Document

Fingerprint

Cite this