Patients admitted to the hospital with chest pain can be managed more economically if they are identified as being at low risk for serious cardiovascular disease.


A person with chest pain is considered at low risk if he or she is negative for all of the following during the 24 hours since admission:

(1) acute myocardial infarction

(2) recurrent chest pain

(3) unstable comorbidity

(4) significant complication (arrhythmia, heart failure, shock, etc.)

(5) previous major cardiac intervention

(6) ongoing intervention requiring care in the coronary care unit

(7) a planned cardiac intervention


If all of these parameters were negative, then the patient can be transferred to a non-monitored bed.


If one or more of these parameters are positive, then continued use of a monitored bed in the coronary or intermediate care unit is appropriate.


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