Is Telemetry Monitoring Useful in Patients Admitted With Suspected Acute Coronary Syndrome?

Jack Perkins, Naveen K. Voore, Jaideep Patel, Sathish Sanna, Edana Mann, Sammy Zakaria, Aysegul Gozu

Research output: Contribution to journalArticle

Abstract

Patients with a chief complaint of chest pain are frequently monitored by telemetry for evaluation of acute coronary syndrome (ACS). However, there is insufficient evidence to support this practice in younger patients without coronary artery disease (CAD). The objective is to assess outcomes of patients younger than 50 years of age and monitored by telemetry. Consecutive medical records of patients admitted for chest pain between January 1, 2009, and June 30, 2010, were reviewed. Patients were excluded who had a CAD history, an abnormal initial troponin, or an abnormal initial electrocardiogram. The remaining patients’ charts were evaluated for adverse events such as death, dysrhythmias, ST-elevation myocardial infarction, or upgrade to a higher level of care. Ultimately, 814 patients were selected for study. No study participants suffered a significant adverse event. When being evaluated for ACS, patients younger than 50 without a history of CAD may not benefit from telemetry monitoring.

Original languageEnglish (US)
Pages (from-to)638-643
Number of pages6
JournalAmerican Journal of Medical Quality
Volume32
Issue number6
DOIs
Publication statusPublished - Nov 1 2017

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Keywords

  • acute coronary syndrome
  • chest pain
  • health care cost
  • telemetry

ASJC Scopus subject areas

  • Health Policy

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