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• W2498830586 abstract "Introduction Every year, over 1.5 million patients are admitted to hospitals after presenting to the Emergency Department (ED) with acute chest pain. Only a small percentage of these admitted patients have Acute Coronary Syndromes (ACSs) and the vast majority of them are discharged with noncardiac diagnoses. Acute chest pain is an important and frequently occurring symptom in patients. Chest pain is often a sign of ischemic heart disease, although gender, age, and comorbidity may modify how acute Coronary Heart Disease (CHD) presents itself within the individual patient. Acute chest pain may indicate a potentially life-threatening situation, but it is also commonly acknowledged that a wide variety of differential diagnosis exists, many with lower health impacts and less serious potential effects (1). Chest pain caused by ACS is an important factor in increasing the number of hospitalizations. So it is necessary to weight the costs and benefits of accurate diagnosis to determine the optimal strategy for MI diagnosis (2). After establishing Myocardial Infarction (MI), then the risk of future adverse events can be determined using biomarkers of ischemia or inflammation, exercise Electrocardiography (ECG) or Computed Tomographic Coronary Angiography (CTCA), along with antithrombotic treatment or coronary intervention which are used to reduce the risk of adverse outcomes in individuals with positive tests (2). ACS is usually associated with chest pain and must be differentiated from other common causes of chest pain such as muscular pain, gastro-oesophageal pain and anxiety. As clinical assessment is unreliable and the electrocardiogram may be normal in the presence ofA CS, establishing such differentiation is difficult. Patients with suspected ACS constitute a large and varied population; many of them have not ACS or CAD, but have noncardiac causes for their chest pain. So ACS and Coronary Artery Disease (CAD) must be carefully identified to establish the best interventions (3). Determining the optimal strategy involves weighing the benefits of reducing adverse events against costs of additional investigation Review Article Volume 1, Issue 1, 2015, p. 29-34" @default.
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• W2498830586 date "2015-01-01" @default.
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• W2498830586 title "CARDIAC ENZYME IN EMERGENCY MEDICINE (REVIEW ARTICLE)" @default.
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