ArticleClinical research in cardiology : official journal of the German Cardiac Society2010
Improved outcome in acute coronary syndrome by establishing a chest pain unit.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.
- Criteria of the German Society of Cardiology for the establishment of chest pain units: update 2014.Clinical research in cardiology : official journal of the German Cardiac Society · 2015Guideline
- Trial
- Enhanced prognosis and regional cooperative rescue systems for acute myocardial infarction: insights from chest pain centers in Ningxia, China.Internal and emergency medicine · 2025Article
- Elevated high-sensitive cardiac troponin T in emergency department patients: insights from a retrospective descriptive cohort study.International journal of emergency medicine · 2024Article
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- Copeptin, miRNA-208, and miRNA-499 as New Biomarkers for Early Detection of Acute Coronary Syndrome.Applied biochemistry and biotechnology · 2022Review
- Cardiogenic shock: incidence, survival and mechanical circulatory support usage 2007-2017-insights from a national registry.Clinical research in cardiology : official journal of the German Cardiac Society · 2021Article
- Review
- Protocol for the Acute Myocardial Infarction Study in Northeastern China (AMINoC): a real-world prospective cohort study.BMJ open · 2021Article
- Review
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- Chest Pain Center Accreditation Is Associated With Improved In-Hospital Outcomes of Acute Myocardial Infarction Patients in China: Findings From the CCC-ACS Project.Journal of the American Heart Association · 2019Article
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- Prevalence and outcome of patients referred for chest pain with high-sensitivity troponin elevation and no diagnosis at discharge.Clinical cardiology · 2018Article
- Relations of Sex to Diagnosis and Outcomes in Acute Coronary Syndrome.Journal of the American Heart Association · 2018Article
- Prevalence, Mortality, and Indicators of Health Care Supply-Association Analysis of Cardiovascular Diseases in Germany.Frontiers in cardiovascular medicine · 2018Article
- [Cardiac causes of chest pain].Der Internist · 2017Review
- How rapid is rapid? Exemplary results of real-life rapid rule-out troponin timing in troponin-positive acute coronary syndromes without persistent ST-segment elevation in two contrasting German chest pain unit facilities.European journal of medical research · 2016Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsChest pain units (CPUs) have been established to optimize treatment of patients with acute coronary syndrome (ACS) and to early and accurately discharge patients with non-coronary chest pain. The aim of this analysis was to elucidate whether treatment of ACS patients in the CPU versus emergency department (ED) has prognostic implications. METHODS AND
resultsPatients presenting with suspected ACS to either the ED between August 2004 and June 2005 or the CPU between July 2005 and May 2006 were retrospectively analyzed. Of 1,796 included patients, 483 had the discharge diagnosis ACS. When compared to patients with exclusion of ACS they had more cardiovascular risk factors and higher troponin, creatinine and C-reactive protein levels (P < 0.001) at admission. Within 1 year, 37 patients of the ACS group suffered an event. Treatment in the ED compared with the CPU showed a significant increase in hazard ratio of 2.1 (P = 0.034) for the combined endpoint death, myocardial infarction and stroke, remaining unchanged after adjusting for confounders. Event-free 1-year survival was higher in CPU patients for the combined endpoint (P (logrank) = 0.02).
conclusionThese results demonstrate a better 1-year prognosis for ACS patients treated in the CPU instead of the ED, therefore, supporting the idea to establish CPUs in Europe.
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