Development of a risk stratification protocol for patients with cardiac chest pain in the emergency department

This paper presents a literature review conducted to inform the development of an evidence-based guideline for risk stratification for patients with cardiac chest pain; Review of literature highlighted risk stratification through using point of care test approach in assessing cardiac troponin I; using Thrombolysis In Myocardial Infarction score for risk assessment, and pre-arranged stress test appointment to detect potential missed diagnosis. Findings suggested that utilization of cardiac troponin I; via a point of care test approach and Thrombolysis In Myocardial Infarction score, could decrease the turnaround time and facilitate clinical management decision-making, and pre-arranged stress test before emergency department discharge could minimize the missed diagnosis of discharged patients with suspected acute coronary syndrome. References