Transcription of Letter to the Editor - Chris Barton
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Letter to the Editor - Chris Barton
ELSEVIER The Journal of emergency Medicine, Vol 14, No 2, pp 245-246, 1996 Coovright D 1996 Elsevier Science Inc. PrkkdY in the USA. All rights reserved 0736-4679/96 $ + .OO Letter to the Editor q The GI Cocktail in the Evaluation of Chest Pain in the emergency department The following case illustrates a recurring problem in the emergency department evaluation of chest pain. The chal- lenge in evaluating chest pain is to determine which pa- tients have a life-threatening condition and which do not. One of the more difficult problems is to separate chest pain due to esophageal disease from that caused by myo- cardial ischemia. Both are common and both can respond to nitrates and calcium channel blockers; however, one is an emergency and the other generally is not. Unfortu- nately, some of the strategies used to determine the cause of chest pain are inappropriate based on the existing literature. The use of a GI Cocktail in the emergency department evaluation of chest pain is such an inappropri- ate practice.
246 The Journal of Emergency Medicine chest pain in the emergency department is unknown; however, its use for this purpose is common in the author’s experience, and such use has been promoted
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