Percorso di valutazione del dolore toracico: Valutazione dei requisiti di base per l'implementazione negli ospedali Italiani

Translated title of the contribution: Evaluation course of chest pain: Evaluation of the base requirements for implementation in Italian hospitals

Filippo Ottani, Nicola Binetti, Ivo Casagranda, Matteo Cassin, Mario Cavazza, Stefano Grifoni, Tiziano Lenzi, Roberto Lorenzoni, Rodolfo Sbrojavacca, Pietro Tanzi, Giuseppe Vergara, Francesco Chiarella, Salvatore Pirelli, Giuseppe Di Pasquale, Luigi Oltrona Visconti, Gennaro Santoro, Giuseppe Palazzo, Giovanni Gregorio, Mario Chiatto, Alessandra ChinagliaGian Francesco Mureddu, Zoran Olivari, Giampaolo Scorcu, Anna Maria Ferrari, Claudio Menon, Vito Giustolisi, Cinzia Barletta, Luciano Strizzolo, Paolo Bellis, Maria Antonietta Bressan, Daniele Coen, Giorgio Ferrara, Paolo Groff, Paolo Iseppi, Stefano La Spada, Michele Lanigra, Carlo Alessandro Locatelli, Salvatore Manca, Carolina Prevaldi, Francesco Stea, Michele Zagra

Research output: Contribution to journalArticlepeer-review


The evaluation of acute chest pain remains challenging, despite many insights and innovations over the past two decades. The percentage of patients presenting at the emergency department with acute chest pain who are subsequently admitted to the hospital appears to be increasing. Patients with acute coronary syndromes who are inadvertently discharged from the emergency department have an adverse short-term prognosis. However, the admission of a patient with chest pain who is at low risk for acute coronary syndrome can lead to unnecessary tests and procedures, with their burden of costs and complications. Therefore, with increasing economic pressures on health care, physicians and administrators are interested in improving the efficiency of care for patients with acute chest pain. Since the emergency department organization (i.e. the availability of an intensive observational area) and integration of care and treatment between emergency physicians and cardiologists greatly differ over the national territory, the purpose of the present position paper is two-fold: first, to review the evidence-based efficacy and utility of various diagnostic tools, and, second, to delineate the basic critical pathways (describing key steps for care and treatment) that need to be implemented in order to standardize and expedite the evaluation of chest pain patients, making their diagnosis and treatment as uniform as possible across the country.

Translated title of the contributionEvaluation course of chest pain: Evaluation of the base requirements for implementation in Italian hospitals
Original languageItalian
Pages (from-to)46-63
Number of pages18
JournalGiornale Italiano di Cardiologia
Issue number1
Publication statusPublished - Jan 2009

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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