EM1906G "Providing high value care to patients with acute chest pain" (IM GR-061419)

The purpose of this presentation is to educate our department about the use of protocols for suspected acute coronary syndrome among patients presenting with chest pain. We will review the potential that new protocols have in improving the efficiency of care delivery.

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Target Audience

UT Southwestern faculty, fellows, residents and medical students, community physicians, nurse clinicians, physician assistants and nurses.

Learning Objectives

At the conclusion of this activity, the participant should be able to:

  • Understand the importance of differentiating cardiac from non-cardiac chest pain among patients presenting to the emergency department.
  • Differentiate the high-sensitivity troponin from the conventional 4th generation troponin.
  • Describe different rule out myocardial infarction protocols that incorporate the use of high-sensitivity troponin.
  • Understand the rationale for the creation of the PHHS/UTSW hs-cTnT Protocol.
  • Gain an awareness of how this protocol has affected resource utilization in the health care system.
Course summary
Available credit: 
  • 1.00 AMA
Course opens: 
Course expires: 

Photo: Rebecca Vigen, M.D.Rebecca Vigen, M.D.
Assistant Professor, Department of Internal Medicine
Division of Cardiology

Rebecca Vigen, MD, MSCS is an Assistant Professor of Internal Medicine in the Division of Cardiology. She is a general cardiologist and health services researcher focused on high value care for patients with cardiovascular disease. Dr. Vigen received her MD from Louisiana State University and completed her internal medicine training at UT Southwestern. She then completed a research fellowship in cardiovascular outcomes research at the University of Colorado where she earned her MSCS. She then completed her clinical cardiology fellowship at UTSW in 2015 and since then has continued on faculty with a practice in general cardiology, echocardiography, as well as remaining active in health services research and quality improvement.

Available Credit

  • 1.00 AMA


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