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, M. Mofidi, , N. Kianmehr, , S. Abbasi, , M.A. Zare, , H. Shaker, , M. Rezaee , N. Ashayeri
Background & Aim:
departments. Low risk patients can be discharged and receive outpatient treatment if clinical and paraclinical assays are
normal. The recommended pre-discharge evaluations are controversial. However, because of the availability and safety of
bedside echocardiography in emergency departments, we decided to conduct this study.
Unstable angina accounts for about 30% of cardiovascular patients referred to emergencyPatients and Method:
unstable angina and admitted to the Emergency Department of Hazrat Rasoul-e-Akram Hospital. All of the cases
underwent bedside echocardiography before their discharge. Calling the patients one month after their discharge, their
outcomes were recorded. Then we made a comparison between echocardiographic findings and their one-month
outcomes. The data were analyzed via SPSS software using statistical tests such as Fisher, Chi-square and t-test.
This cohort study was done on 140 patients with chest pain who were diagnosed with low riskResults:
cases) were male. The patients with abnormal echocardiographic findings, i.e. EF(Ejection Fraction)<40% and wall motion
abnormality, had a significantly higher rate of re-hospitalization because of chest pain(p=0.000).
The mean age of the patients was 51.39(SD=10.13) years. 42.1%(59 cases) were female and 57.9%(81Conclusion:
cardiovascular events in low risk unstable angina patients.
The study shows that bedside echocardiography before discharge is a reliable method for predicting| Rights and permissions | |
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