CARE-CP (Testing a Cardiovascular Ambulatory Rapid Evaluation for Patients With Chest Pain )
The goal of this study is to determine if rapid outpatient evaluation vs hospitalization management is the best strategy (based on patient-centered measures and safe, equitable, and efficient resource use) for evaluating patients with acute chest pain who are at moderate risk for acute coronary syndrome (ACS). Patients will be randomized in the Emergency Department to either an outpatient evaluation (CARE-CP) or hospitalization evaluation for their symptoms.
• Age ≥21 years old
• Chest pain or Symptoms of acute coronary syndrome (ACS)
• Moderate risk of ACS (all of the below)
• Hear Score 4-6
• Non-Ischemic electrocardiogram (ECG)
• Two Troponin measures \< Sex-Specific Upper Reference Limit
‣ Women \<15 pg/ml
⁃ Men \<20 pg/ml
• No prior coronary artery disease (CAD)
‣ No Prior Myocardial Infarction (MI)
⁃ No Prior Coronary Revascularization Procedures
⁃ No Patients with ≥ 70% Obstructive Coronary Disease