Abstract
Over 5 million people present annually to the emergency department (ED) with chest pain or symptoms concerning for acute coronary syndrome (ACS). Failure to identify patients with ACS represents significant liability for the practitioner, as well as substantial morbidity for the patient. Data indicates patients younger than 40 years old comprise only 2% of the population with ACS and a previous urban study indicated routine stress testing of patients who were considered to be low-risk in this population as means of “ruling out” ACS was of limited value.
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