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Volume 340:1596-1597 May 20, 1999 Number 20
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Chest-Pain Observation Units

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 by Farkouh, M. E.
To the Editor: Farkouh et al. (Dec. 24 issue)1 have shown that patients who present to the emergency room with chest pain and who have an "intermediate risk" of cardiovascular events can be "safely" cared for with the use of a chest-pain observation unit (CPU). The study is timely because of the exorbitant costs associated with a diagnosis recorded as "rule out myocardial infarction." The study is also important because it alerts clinicians to the ways in which the results of small, randomized trials can easily be misinterpreted.

The study compared primary end points (nonfatal myocardial infarction, death, congestive heart . . . [Full Text of this Article]

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