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Chest Pain Assessment and Imaging Practices for Nurse Practitioners in the Emergency Department

Abid, Sidrah MD; Shuaib, Waqas MD; Ali, Shehzad MD; Evans, Dian Dowling PhD, FNP-BC, ENP-BC; Khan, Muhammad Shahzeb MD; Edalat, Faramarz MD; Khan, Muhammad Jalal MD

Section Editor(s): Ramponi, Denise DNP, NP-C, FAEN, CEN, FAANP, FNP-C, ENP-C; Column Editor

Advanced Emergency Nursing Journal: January/March 2015 - Volume 37 - Issue 1 - p 12–22
doi: 10.1097/TME.0000000000000048

Chest pain is among the most common presentations in emergency departments worldwide, where a timely diagnosis and proper initial management is challenging but essential for health care providers. This article reviews the diagnostic workup of varying clinical presentations of adult chest pain with a focus on appropriate imaging practices based on current guidelines for risk stratification and care management that can guide the triage and medical decisions of nurses working in emergency and urgent care settings.

Department of Medicine, Interfaith Medical Center, Brooklyn, New York (Dr Abid); Department of Radiology and Imagining Science, Emory University Hospital, Atlanta, Georgia (Dr Shuaib, and Edalat); Department of Medicine, Weiss Memorial Hospital, Chicago, Illinois (Dr Ali); Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia (Dr Evans); School of Medicine, Dow University of Health Sciences, Karachi, Pakistan (Dr Shahzeb Khan); and Department of Medicine, Zucker Hillside Hospital, Glen Oak, New York (Dr Jalal Khan).

Corresponding Author: Waqas Shuaib, MD, Department of Radiology and Imaging Sciences, Emory University Hospital, Midtown, 550 Peachtree St NE, Atlanta, GA 30308 (

Disclosure: The authors report no conflicts of interest.

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