An Updated Healthcare System-Wide Clinical Pathway for Managing Patients With Chest Pain and Acute Coronary Syndromes
- Resource Type
- Authors
- Ajay J. Kirtane; Gerald Neuberg; Yuliya Kats; Lawrence Melniker; Sorin J. Brener; Ronald Nutovits; Edward H. Suh; Robert M. Minutello; Rahul Sharma; Anthony Pucillo; Lorna M. Breen; Michael I. Brener; LeRoy E. Rabbani; Andrew Amaranto; Osman R. Sayan; Jen Tung; Jennifer Stant; Emmanuel N. Moustakakis
- Source
- Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine. 18:167-175
- Subject
- Patient Transfer
Chest Pain
medicine.medical_specialty
Vasodilator Agents
Best practice
medicine.medical_treatment
Adrenergic beta-Antagonists
MEDLINE
030204 cardiovascular system & hematology
Coronary Angiography
Chest pain
Angina
Electrocardiography
Nitroglycerin
03 medical and health sciences
Percutaneous Coronary Intervention
0302 clinical medicine
Clinical pathway
Troponin T
Health care
medicine
Humans
Angina, Unstable
Acute Coronary Syndrome
Non-ST Elevated Myocardial Infarction
Intensive care medicine
Heparin
business.industry
Troponin I
Anticoagulants
Percutaneous coronary intervention
medicine.disease
Triage
Practice Guidelines as Topic
Critical Pathways
ST Elevation Myocardial Infarction
New York City
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Platelet Aggregation Inhibitors
- Language
- ISSN
- 1535-282X
Clinical pathways reinforce best practices and help healthcare institutions standardize care delivery. The NewYork-Presbyterian/Columbia University Irving Medical Center has used such a pathway for the management of patients with chest pain and acute coronary syndromes for almost 2 decades. A multidisciplinary panel of stakeholders serially updates the algorithm according to new data and recently published guidelines. Herein, we present the 2019 version of the clinical pathway. We explain the rationale for changes to the algorithm and describe our experience expanding the pathway to all the 8 affiliated institutions within the NewYork Presbyterian healthcare system.