Search

Your search keyword '"Smars, Peter A"' showing total 31 results
Start Over Author "Smars, Peter A"
31 results on '"Smars, Peter A"'

3. New Technologies for the Evaluation of Acute Coronary Syndromes: Magnetocardiography—The Next Generation of Super Electrocardiogram?

Author

Margarita Pena, Anwar Osborne, W Frank Peacock Editors, Brisinda, Donatella, Fenici, Riccardo, Smars, Peter, Donatella Brisinda (ORCID:0000-0002-9803-0093), Riccardo Fenici (ORCID:0000-0002-4664-2653), Margarita Pena, Anwar Osborne, W Frank Peacock Editors, Brisinda, Donatella, Fenici, Riccardo, Smars, Peter, Donatella Brisinda (ORCID:0000-0002-9803-0093), and Riccardo Fenici (ORCID:0000-0002-4664-2653)

Abstract

N/A

Published
2022

4. New Technologies for the Evaluation of Acute Coronary Syndromes: The Next Generation of Super Electrocardiogram?

Author

In M. Pena et al. (eds.), Short Stay Management of Chest Pain, Contemporary Cardiology, Springer Nature Switzerland AG 2022, Brisinda, Donatella, Fenici, Riccardo, Smars, Peter, Donatella Brisinda (ORCID:0000-0002-9803-0093), Riccardo Fenici (ORCID:0000-0002-4664-2653), In M. Pena et al. (eds.), Short Stay Management of Chest Pain, Contemporary Cardiology, Springer Nature Switzerland AG 2022, Brisinda, Donatella, Fenici, Riccardo, Smars, Peter, Donatella Brisinda (ORCID:0000-0002-9803-0093), and Riccardo Fenici (ORCID:0000-0002-4664-2653)

Abstract

As well outlined in previous chapters, chest pain remains one of the most common and complex chief complaints presenting to emergency departments (EDs) in the USA today. Ischemic heart disease (IHD) is a major cause of death (almost nine million people globally in 2017) (Roth et al., Lancet. 392(10159), 1736–88, 2018), its noninvasive early detection remains a clinical challenge (Montalescot et al., Eur Heart J, 34(38), 2949–3003, 2013), especially in patients presenting with acute chest pain in the ED, where the electrocardiogram (ECG) is commonly nondiagnostic at first presentation. It is well known that in more than one-third of patients with acute coronary syndrome (ACS), biomarker concentrations can also be within normal limits even using high-sensitivity (hs) cardiac troponin assays (Roffi et al., Eur Heart J, 37(3), 267–315, 2016). Although the time needed to arrive at a safe ED disposition has been shortened significantly by the introduction of risk algorithms incorporating hs cardiac troponin assays (Greenslade et al., Ann Emerg Med, 71(4), 439–451.e3, 2018), it may still require on average 3–6 h or more to make a differential diagnosis between cardiac and noncardiac chest pain allowing for a safe disposition. Despite significant efforts and guidelines that are being followed, the missed ACS rate remains at approximately 2% or more, as atypical presentations are very common (11–14%). Unrecognized ACS significantly increases morbidity and mortality, and in addition, can lead to a high medicolegal risk (Vukmir, Med Law, 23(3), 495–513, 2004). This has not appreciably changed over recent decades (Roth et al., Lancet. 392(10159), 1736–88, 2018; Montalescot et al., Eur Heart J, 34(38), 2949–3003, 2013; Roffi et al., Eur Heart J, 37(3), 267–315, 2016; Greenslade et al., Ann Emerg Med, 71(4), 439–451.e3, 2018).

Published
2022

11. Impact of the application of the American College of Emergency Physicians recommendations for the admission of patients with syncope on a retrospectively studied population presenting to the emergency department

Author

Elesber, Ahmad A., Decker, Wyatt W., Smars, Peter A., Hodge, David O., and Shen, Win-Kuang

Subjects
Hospitals -- Emergency service, Emergency medicine, Physicians, Universities and colleges, Cardiac patients, Medical societies, Health
Abstract

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.ahj.2004.07.024 Byline: Ahmad A. Elesber (c), Wyatt W. Decker (a), Peter A. Smars (a), David O. Hodge (b), Win-Kuang Shen (c) Abstract: The goal of our study was to determine the accuracy of the American College of Emergency Physicians (ACEP) clinical policy in identifying patients with a cardiac cause for their syncope and its potential effect on syncope management. Author Affiliation: (a) Department of Emergency Medicine, Mayo Clinic, Rochester, Minn (b) Division of Biostatistics, Mayo Clinic, Rochester, Minn (c) Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minn Article History: Received 11 November 2003; Accepted 30 July 2004 Article Note: (miscellaneous) Dr Shen has received a grant from Medtronic. Nothing in this manuscript implies endorsement by Mayo Foundation of any Medtronic product.

Published
2005

14. Clinical risk stratification in the emergency department predicts long-term cardiovascular outcomes in a population-based cohort presenting with acute chest pain: primary results of the Olmsted County Chest Pain Study

Author

Farkouh, Michael E., Aneja, Ashish, Reeder, Guy S., Smars, Peter A., Bansilal, Sameer, Lennon, Ryan J., Wiste, Heather J., Razzouk, Louai, Traverse, Kay, Holmes, David R., Jr., and Mathew, Verghese

Subjects
Chest pain -- Care and treatment, Chest pain -- Patient outcomes, Chest pain -- Research, Cardiovascular diseases -- Risk factors, Cardiovascular diseases -- Research
Published
2009

15. A clinical trial of a chest-pain observation unit for patients with unstable angina

Author

Farkouh, Michael E., Smars, Peter A., Reeder, Guy S., Zinsmeister, Alan R., Evans, Roger W., Meloy, Thomas D., Kopecky, Stephen L., Allen, Marvin, Allison, Thomas G., Gibbons, Raymond J., and Gabriel, Sherine E.

Subjects
Chest pain -- Care and treatment, Coronary care units -- Evaluation, Cardiac patients -- Care and treatment
Abstract

A chest-pain observation unit (CPU) may reduce hospital costs while ensuring that patients with chest pain receive adequate care. Researchers in one hospital emergency department set aside four beds to create the CPU and randomly assigned 424 patients with chest pain to the CPU or a monitored bed in the hospital. Patients in the CPU were watched for at least six hours and had periodic measurements of cardiac enzymes and continual ECG monitoring. No heart attacks occurred in those who were monitored in the CPU and then released, and the use of resources was also lower in the CPU group.

Published
1998

24. Ethylene glycol and methanol ingestion cared for by tele-emergency pharmacy and tele-emergency medicine.

Author

Russi, Christopher S, Mattson, Alicia E, Smars, Peter A, Newman, James S, and Beuning, Alex J

Subjects
TELEMEDICINE, TOXICOLOGY, CRITICALLY ill, RURAL health, EMERGENCY medical services, MEDICAL consultation, HOSPITAL emergency services, METHANOL, PROFESSIONAL associations, RURAL population, SUICIDAL behavior, ETHYLENE glycols
Abstract

We believe this is the first documented case of a critically ill patient managed by telepharmacy in a remote, rural critical access hospital. We outline the case and the benefits of telepharmacy in under-resourced, rural critical access emergency departments. [ABSTRACT FROM AUTHOR]

Published
2019
Full Text
View/download PDF

25. Chest-pain observation units

Author

McFalls, Edward O., Getchell, William S., Larsen, Greg, Smars, Peter A., Farkouh, Michael E., and Reeder, Guy S.

Subjects
Chest pain -- Care and treatment
Published
1999

26. In reply

Author

Decker, Wyatt W., primary, Smars, Peter A., additional, Goyal, Deepi G., additional, Vaidyanathan, Lekshmi, additional, Stead, Latha G., additional, and Shen, Win-Kuang, additional

Published
2009
Full Text
View/download PDF

28. Non-Cardiac Chest Pain (NCCP)

Author

Leise, Michael D., primary, Richard Locke, G., additional, Dierkhising, Ross A., additional, Smars, Peter A., additional, Reeder, Guy S., additional, Zinsmeister, Alan R., additional, and Talley, Nicholas J., additional

Published
2006
Full Text
View/download PDF

29. Syncope Evaluation in the Emergency Department Study (SEEDS)

Author

Shen, Win K., primary, Decker, Wyatt W., additional, Smars, Peter A., additional, Goyal, Deepi G., additional, Walker, Ann E., additional, Hodge, David O., additional, Trusty, Jane M., additional, Brekke, Karen M., additional, Jahangir, Arshad, additional, Brady, Peter A., additional, Munger, Thomas M., additional, Gersh, Bernard J., additional, Hammill, Stephen C., additional, and Frye, Robert L., additional

Published
2004
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results