1 Chest Pain Care Patterns Across the Carolinas: Determining the Readiness for Widespread HEART Pathway Dissemination

Greater than 50% of patients who present to the ED with chest pain are admitted but <10% are ultimately diagnosed with ACS. This pervasive over-triage costs $10-13 billion annually. The HEART Pathway uses a validated clinical decision aid and serial troponin measures to provide real-time decision support to providers. In prior studies, the HEART Pathway decreased hospitalizations, stress testing, and hospital length of stay, without increasing adverse events, demonstrating efficacy at a single site.

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