Cardiovascular Emergencies

Clinical Care

Innovation Leader

Vision

We will ensure that all BC emergency departments provide efficient and safe disposition for chest pain patients with potential ischemic chest pain.

Current Activities

  • Initiated development of study to evaluate high-sensitivity troponin in chest pain management
  • Recruitment of partners in cardiology and laboratory medicine for hsTnT study
  • Initiated data collection for study of fractional flow reserve CT (FFR CT) in management of chest pain patients
  • Ongoing relationships with radiology and cardiology partners in FFR CT study

Short-Term Goals

  • Test implementation of a two-hour discharge rule for chest pain patients
  • Implement rapid diagnostic testing of chest pain patients at triage
  • Synthesize and implement a comprehensive clinical pathway for patients with chest pain that incorporates:
    • Triage-ordered testing
    • A validated two-hour rule-out clinical decision rule
    • A six-hour strategy with rapid out-patient stress tests
  • Find resources to follow patients in order to evaluate the strategy in St. Paul’s Hospital and in other settings in BC

Long-Term Goals

  • Integrate new and existing knowledge into a comprehensive framework for safe and efficient diagnosis and disposition of patients with potential ischemic chest pain presenting at all BC emergency departments (ED)
  • Quantitatively measure the decrease in ED and hospital resource use by implementing such a framework

RELEVANT CLINICAL RESOURCES