The University of Santo Tomas Hospital (USTH) 2022 Institutional Chest Pain Pathway: Approach to diagnosis, risk stratification, and management.

Jannah Lee Tarranza; Christine Joy Bongon; Maria Monica Valdez; John Paul Tiopianco; Alexander Reyes; John Patrick Ona; Don Robespierre Reyes; Marcellus Francis Ramirez; Aileen Cynthia DE Lara; Clarissa Mendoza; Wilson Tan DE Guzman; Zacarias Manuel; Eduardo S Caguioa; Milagros Yamamoto

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The University of Santo Tomas Hospital (USTH) 2022 Institutional Chest Pain Pathway: Approach to diagnosis, risk stratification, and management.

Author: Jannah Lee TARRANZA ¹ ; Christine Joy BONGON ¹ ; Maria Monica VALDEZ ¹ ; John Paul TIOPIANCO ^{1
,

2} ; Alexander REYES ¹ ; John Patrick ONA ^{1
,

2} ; Don Robespierre REYES ¹ ; Marcellus Francis RAMIREZ ^{1
,

3} ; Aileen Cynthia DE LARA ^{1
,

2
,

4
,

5} ; Clarissa MENDOZA ^{1
,

6} ; Wilson Tan DE GUZMAN ^{1
,

2} ; Zacarias MANUEL ¹ ; Eduardo S. CAGUIOA ¹ ; Milagros YAMAMOTO ⁴
Author Information

1. Section of Cardiology, Department of Internal, Medicine, University of Santo Tomas Hospital, Espana, Blvd, Manila
2. Division of Interventional Cardiology,Section of Cardiology, Department of Internal Medicine, University of Santo Tomas Hospital, Espana, Blvd, Manila
3. Division of Cardiac Electrophysiology, Section of Cardiology, Department of Internal Medicine, University of Santo Tomas Hospital, Espana Blvd, Manila
4. University of Santo Tomas Faculty of Medicine and Surgery, Department of Medicine, Espana Blvd, Manila
5. University of Santo Tomas Faculty of Medicine and Surgery, Department of Physiology, Espana Blvd, Manila
6. University of Santo Tomas Faculty of Medicine and Surgery, Department of Pharmacology, Espana Blvd, Manila
Publication Type:Other Types
Keywords: Angina Pectoris|acute Chest Pain|clinical Decision Pathway|diagnostic Pathway|risk Stratification|emergency Care
MeSH: Acute Coronary Syndrome|critical Pathways
From: Journal of Medicine University of Santo Tomas 2022;6(S1):11-24
CountryPhilippines
Language:English
Abstract: This clinical pathway for the diagnosis and risk stratification of patients presenting with acute chest pain, including acute coronary syndromes, provides recommendations and algorithms for clinicians to diagnose, risk stratify, and manage acute chest pain in adult patients. The writing committee reviewed existing international and local guidelines. Modifications to the algorithm following face-to-face and virtual meetings resulted in expert decisions written as recommendations and presented in a flow diagram format. The USTH Chest Pain Pathway provides guidance based on current guidelines and recommendations on assessing and evaluating acute chest pain, tailored to local needs and institution-specific facilities. We recommend its use to ensure quality patient care in the hospital.
Full text:JMUST S1 4.pdf