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Compliance with stress testing in patients discharged from the emergency department following a diagnosis of low-risk chest pain
  1. Kent Robinson,
  2. Shreyas Prabhala
  1. Department of Emergency Medicine, Liverpool Hospital, The University of New South Wales, Sydney, New South Wales, Australia
  1. Correspondence to Dr Kent Robinson, Emergency Department, Liverpool Hospital, Elizabeth Street, Liverpool, Sydney, NSW 2170, Australia; drkentrobinson{at}me.com

Abstract

Objective To determine rates of compliance with outpatient stress testing in patients with a diagnosis of low-risk chest pain, reasons for non-compliance and incidence of adverse cardiac events (ACE).

Methods This was a prospective study of 79 patients who were discharged from the emergency department with low-risk chest pain. Patients were followed-up by phone interview.

Results 36.7% of patients completed EST within 30 days, 2.5% of patients completed their EST within the recommended 72 h. A lack of time was the most common reason for non-compliance and was seen in 32.0% of patients. 20% of ESTs were cancelled by the primary care physician (PCP). 12% of patients were non-compliant, as they believed the pain to be non-cardiac. There were no documented ACEs in the study.

Conclusions Compliance with EST is poor in patients with low-risk chest pain. Non-compliance is related to a number of factors including work commitments, cancellation of studies by the PCP and patients beliefs about the nature of their chest pain.

  • CORONARY ARTERY DISEASE
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