Evaluation of Chest Pain and Acute Coronary Syndromes

Anna Marie Chang, David L. Fischman, Judd E. Hollander

Research output: Contribution to journalReview articlepeer-review

26 Scopus citations


Chest pain is a common complaint in the emergency department, and it is the job of clinicians to rule out life-threatening diagnoses such as acute coronary syndrome. The history, physical examination, cardiac risk factors, electrocardiogram findings, and clinician judgment are often not enough to distinguish between causes of chest pain syndromes and to reliably rule out acute myocardial ischemia. New cardiac troponin assays, especially in conjunction with clinical decision algorithms, help clinicians rapidly exclude acute myocardial infarction. For further risk stratification, stress testing or coronary computed tomography angiography can be used in the emergency department.

Original languageEnglish (US)
Pages (from-to)1-12
Number of pages12
JournalCardiology Clinics
Issue number1
StatePublished - Feb 2018
Externally publishedYes


  • Acute coronary syndrome
  • Chest pain
  • Coronary CT angiography
  • Troponin

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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