Volume 15 - summer                   RJMS 2008, 15 - summer: 125-130 | Back to browse issues page

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Abstract:   (7919 Views)

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 emergency

Patients 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 risk


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%(81


cardiovascular events in low risk unstable angina patients.

The study shows that bedside echocardiography before discharge is a reliable method for predicting
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Type of Study: Research | Subject: Urgent Medicine

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