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Does the American Heart Association officially support the Heart Score? I couldn't seem to find the answer to this. So I called the AHA, and they sent me info on signing up for CPR classes.
The most recent guidelines I could find were from 2014 for NSTEMI management which has some notes about sending chest pain home from the ED. Their rec's are to admit CP with "symptoms consistent with ACS" (even if normal trop and EKG). Or for "possible ACS" you could send them home with stress test withing 72 hours. Or you could get a coronary CT or a myocardial perfusion study before sending them home.
Any more recent guidelines that this? If the AHA doesn't support the new Netherland Heart Score, I'm not sure I should either.
The most recent guidelines I could find were from 2014 for NSTEMI management which has some notes about sending chest pain home from the ED. Their rec's are to admit CP with "symptoms consistent with ACS" (even if normal trop and EKG). Or for "possible ACS" you could send them home with stress test withing 72 hours. Or you could get a coronary CT or a myocardial perfusion study before sending them home.
Any more recent guidelines that this? If the AHA doesn't support the new Netherland Heart Score, I'm not sure I should either.