A 2-h diagnostic protocol to assess patients with chest pain symptoms in the Asia-Pacific region (ASPECT): A prospective observational validation study

Martin Than, Louise Cullen, Christopher Reid, Swee Lim, Sally Aldous, Michael Ardagh, Frank Peacock, William Parsonage, Hiu Ho, Hui Fai Ko, Ravi Kasliwal, Manish Bansal, Sunarya Soerianata, Dayi Hu, Rongjing Ding, Qi Hua, Kang Seok-Min, Piyamitr Sritara, Ratchanee Sae-Lee, Te-Fa ChiuKuang-Chau Tsai, Fang-Yeh Chu, Wei-Kung Chen, Wen-Han Chang, Dylan Flaws, Peter George, A Richards

Research output: Contribution to journalArticleResearchpeer-review

267 Citations (Scopus)


Background Patients with chest pain contribute substantially to emergency department attendances, lengthy hospital stay, and inpatient admissions. A reliable, reproducible, and fast process to identify patients presenting with chest pain who have a low short-term risk of a major adverse cardiac event is needed to facilitate early discharge. We aimed to prospectively validate the safety of a predefined 2-h accelerated diagnostic protocol (ADP) to assess patients presenting to the emergency department with chest pain symptoms suggestive of acute coronary syndrome.
Original languageEnglish
Pages (from-to)1077 - 1084
Number of pages8
JournalThe Lancet
Issue number9771
Publication statusPublished - 2011

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