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Updating an Institutional Chest Pain Algorithm: Incorporating New Evidence on Emerging Pharmacotherapy
Critical Pathways in Cardiology, 08/02/2012
Evidence Based Medicine
Clinical Article
Rosner GF et al. – The authors present their updated chest pain algorithm and provide rationale for the changes that the authors have made to their protocol.
- Clinical treatment pathways are useful to ensure that evidence–based medicine is consistently applied in hospital systems and have been shown to improve patient outcomes.
- Such pathways need to be regularly updated and revised by incorporating new evidence from clinical trials to ensure optimal clinical care.
- In 2011, the authors published the Columbia University Medical Center/New York Presbyterian Hospital – Clinical Pathways for Acute Coronary Syndromes and Chest Pain.
- This algorithm includes primary percutaneous coronary intervention for all patients with ST–segment elevation myocardial infarction and an early invasive approach for patients with non–ST–segment elevation myocardial infarction.
- Since the last chest pain algorithm update, the novel antiplatelet agent ticagrelor has been introduced in the United States, resulting in an important revision of the acute coronary syndrome clinical pathways.