In this large prospective cohort of patients presenting to an ED with chest pain of suspected cardiac origin, those with 3 negative findings (EKG without ischemia, normal cardiac biomarkers, and TIMI risk of zero), the 30 day risk of major cardiac adverse events was <1% (negative predictive value of 99.1%). Most patients with these 3 negative findings can be safety discharged with a low risk of short term cardiac events (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.