This is an interesting and useful read. Since I know this list is read by some at the MRI, I have a couple of questions about this paper (Simon ?). ( Is it possible to exclude a diagnosis of myocardial damage within 6 hours of admission to a ED; BMJ 323 18/8)
Why is it focused simply on MI, surely we are trying to identify patients with an acute coronary syndrome - not just a infarct ? Isn't this the purpose of a chest pain unit ? Simply ruling out an MI only answers part of the question. or have I missed something - which I freely acknowledge is quite possible ;-) Why no provocative testing prior to discharge ? - surely identifying this potential high risk group is another key function of a chest pain unit.
thanks
Craig
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