{"id":"https://openalex.org/W207230232","doi":null,"title":"Approach to undifferentiated chest pain in the emergency department: a review of recent medical literature and published practice guidelines.","display_name":"Approach to undifferentiated chest pain in the emergency department: a review of recent medical literature and published practice guidelines.","publication_year":2006,"publication_date":"2006-03-01","ids":{"openalex":"https://openalex.org/W207230232","mag":"207230232","pmid":"https://pubmed.ncbi.nlm.nih.gov/16568192"},"language":"en","primary_location":{"id":"pmid:16568192","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16568192","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Mount Sinai journal of medicine, New York","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041061190","display_name":"Elin Ringstr\u00f6m","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1324220072","display_name":"Mount Sinai Hospital","ror":"https://ror.org/01zkyz108","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1320796813","https://openalex.org/I1324220072"]},{"id":"https://openalex.org/I98704320","display_name":"Icahn School of Medicine at Mount Sinai","ror":"https://ror.org/04a9tmd77","country_code":"US","type":"education","lineage":["https://openalex.org/I1320796813","https://openalex.org/I98704320"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elin Ringstrom","raw_affiliation_strings":["Department of Emergency Medicine, Box 1149, Mount Sinai School of Medicine, One East 100th Street, New York, NY 10029, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Box 1149, Mount Sinai School of Medicine, One East 100th Street, New York, NY 10029, USA","institution_ids":["https://openalex.org/I1324220072","https://openalex.org/I98704320"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5050762486","display_name":"Jessica Freedman","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jessica Freedman","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.1705,"has_fulltext":false,"cited_by_count":42,"citation_normalized_percentile":{"value":0.91862959,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"73","issue":"2","first_page":"499","last_page":"505"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.9229000210762024,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.9229000210762024,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.03449999913573265,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.010300000198185444,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/undifferentiated-chest-pain","display_name":"undifferentiated chest pain","score":0.9909999966621399},{"id":"https://openalex.org/keywords/acute-coronary-syndrome","display_name":"acute coronary syndrome","score":0.984000027179718},{"id":"https://openalex.org/keywords/non-cardiac-chest-pain","display_name":"non-cardiac chest pain","score":0.8270000219345093},{"id":"https://openalex.org/keywords/emergency-department-diagnosis","display_name":"emergency department diagnosis","score":0.7390000224113464},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.6179999709129333},{"id":"https://openalex.org/keywords/electrocardiography","display_name":"electrocardiogram","score":0.8259999752044678},{"id":"https://openalex.org/keywords/chest-x-ray","display_name":"chest radiography","score":0.9229999780654907},{"id":"https://openalex.org/keywords/aortic-dissection","display_name":"aortic dissection","score":0.9120000004768372},{"id":"https://openalex.org/keywords/esophageal-perforation","display_name":"esophageal perforation","score":0.9869999885559082},{"id":"https://openalex.org/keywords/pulmonary-embolism","display_name":"pulmonary embolism","score":0.9929999709129333},{"id":"https://openalex.org/keywords/pneumothorax","display_name":"pneumothorax","score":0.9980000257492065},{"id":"https://openalex.org/keywords/pneumonia","display_name":"pneumonia","score":0.921999990940094},{"id":"https://openalex.org/keywords/pericarditis","display_name":"pericarditis","score":0.996999979019165}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9493938088417053},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.8545197248458862},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.7444450855255127},{"id":"https://openalex.org/C2777698277","wikidata":"https://www.wikidata.org/wiki/Q266018","display_name":"Acute coronary syndrome","level":3,"score":0.5029098391532898},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.4801068603992462},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.47476792335510254},{"id":"https://openalex.org/C206179267","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Medical history","level":2,"score":0.4692010283470154},{"id":"https://openalex.org/C2778329176","wikidata":"https://www.wikidata.org/wiki/Q203601","display_name":"Pneumothorax","level":2,"score":0.4424494504928589},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.4226973056793213},{"id":"https://openalex.org/C2780505380","wikidata":"https://www.wikidata.org/wiki/Q7142931","display_name":"Past medical history","level":2,"score":0.41164663434028625},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.40044158697128296},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.32967132329940796},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2132388949394226},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1958475112915039},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.1955793797969818},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000208","descriptor_name":"Acute Disease","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002637","descriptor_name":"Chest Pain","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D002637","descriptor_name":"Chest Pain","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006331","descriptor_name":"Heart Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D006331","descriptor_name":"Heart Diseases","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019317","descriptor_name":"Evidence-Based Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019370","descriptor_name":"Observation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"pmid:16568192","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16568192","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Mount Sinai journal of medicine, New York","raw_type":"Journal Article"},{"id":"pmh:oai:CiteSeerX.psu:10.1.1.544.4971","doi":null,"is_oa":false,"landing_page_url":"http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.544.4971","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"http://kallus.com/er/resident/julycourse/reading/undifferentiated chest pain.pdf","raw_type":"text"},{"id":"mag:207230232","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16568192","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":56,"referenced_works":["https://openalex.org/W1529511363","https://openalex.org/W1599969543","https://openalex.org/W1964837384","https://openalex.org/W1969553634","https://openalex.org/W1972042341","https://openalex.org/W1973237056","https://openalex.org/W1984772531","https://openalex.org/W1992753667","https://openalex.org/W1993884269","https://openalex.org/W1997277648","https://openalex.org/W2011707638","https://openalex.org/W2013255549","https://openalex.org/W2017587691","https://openalex.org/W2021309274","https://openalex.org/W2038213938","https://openalex.org/W2038811218","https://openalex.org/W2051171361","https://openalex.org/W2054431932","https://openalex.org/W2056691193","https://openalex.org/W2057045023","https://openalex.org/W2057363015","https://openalex.org/W2063412520","https://openalex.org/W2067770912","https://openalex.org/W2069093499","https://openalex.org/W2076122524","https://openalex.org/W2079312610","https://openalex.org/W2079997938","https://openalex.org/W2083343322","https://openalex.org/W2085265911","https://openalex.org/W2091104217","https://openalex.org/W2100666674","https://openalex.org/W2101068188","https://openalex.org/W2112900456","https://openalex.org/W2113689253","https://openalex.org/W2118611815","https://openalex.org/W2118667306","https://openalex.org/W2130716798","https://openalex.org/W2131991901","https://openalex.org/W2133619004","https://openalex.org/W2139893218","https://openalex.org/W2142015026","https://openalex.org/W2143570222","https://openalex.org/W2144966205","https://openalex.org/W2147615829","https://openalex.org/W2155257146","https://openalex.org/W2156340286","https://openalex.org/W2158857630","https://openalex.org/W2159011576","https://openalex.org/W2160293422","https://openalex.org/W2161722088","https://openalex.org/W2172204040","https://openalex.org/W2320270386","https://openalex.org/W2335377152","https://openalex.org/W2336287850","https://openalex.org/W2406404285","https://openalex.org/W2415160991"],"related_works":["https://openalex.org/W7100075895","https://openalex.org/W2892139491","https://openalex.org/W2253467721","https://openalex.org/W4293461726","https://openalex.org/W1966109616","https://openalex.org/W149118081","https://openalex.org/W3120206838","https://openalex.org/W4242011524","https://openalex.org/W4310069834","https://openalex.org/W2556640464"],"abstract_inverted_index":{"Chest":[0],"pain":[1,26,178],"is":[2,27],"the":[3,35,43,71,77,82,162,190],"presenting":[4,172],"complaint":[5,175],"in":[6,29],"over":[7],"6":[8],"million":[9],"emergency":[10,30],"department":[11],"visits":[12],"each":[13],"year.":[14],"Differentiating":[15],"acute":[16],"coronary":[17],"syndrome":[18],"(ACS)":[19],"from":[20,130],"other,":[21],"noncardiac":[22],"causes":[23,166],"of":[24,45,70,74,85,100,148,164,167,176],"chest":[25,47,65,102,117,168,177],"imperative":[28],"practice.":[31],"This":[32],"article":[33],"reviews":[34],"current":[36],"medical":[37],"evidence":[38],"and":[39,81,119,143,183],"published":[40,68],"guidelines":[41,69],"for":[42,55,95,107],"diagnosis":[44],"undifferentiated":[46,64],"pain.":[48,66,169],"A":[49],"MEDLINE":[50],"database":[51],"search":[52],"was":[53],"conducted":[54],"relevant":[56],"English":[57],"language":[58],"articles":[59],"discussing":[60],"an":[61,186],"approach":[62],"to":[63,120,161,185],"The":[67,90],"American":[72,78,83],"College":[73,84],"Emergency":[75],"Physicians,":[76],"Heart":[79],"Association,":[80],"Cardiology":[86],"were":[87],"also":[88],"reviewed.":[89],"data":[91],"surveyed":[92],"suggest":[93],"that,":[94],"all":[96],"adult":[97],"patients":[98,171],"complaining":[99],"nontraumatic":[101],"pain,":[103],"a":[104,121,149,174],"cardiac":[105],"etiology":[106],"their":[108],"presentation":[109],"should":[110],"be":[111],"considered.":[112],"History,":[113],"physical":[114,152],"examination,":[115,153],"electrocardiogram,":[116],"radiography,":[118],"lesser":[122],"extent":[123],"laboratory":[124],"results":[125,157],"can":[126,158],"help":[127],"differentiate":[128],"ACS":[129,160],"other":[131,165],"emergent":[132],"diagnoses,":[133],"e.g.,":[134],"aortic":[135],"dissection,":[136],"esophageal":[137],"rupture,":[138],"pulmonary":[139],"embolus,":[140],"pneumothorax,":[141],"pneumonia,":[142],"pericarditis.":[144],"No":[145],"single":[146],"feature":[147],"patient's":[150],"history,":[151],"or":[154,189],"diagnostic":[155],"test":[156],"diagnose":[159],"exclusion":[163],"Consequently,":[170],"with":[173],"frequently":[179],"require":[180],"serial":[181],"evaluations,":[182],"admission":[184],"observation":[187],"unit":[188],"hospital.":[191]},"counts_by_year":[{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":2},{"year":2021,"cited_by_count":2},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":3}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}