A Novel Protocol for Feasibility and Safety in Early Discharge with ACS Article Swipe

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Karim Jamhour-Chelh ·

YOU? · · 2025 · Open Access · · DOI: https://doi.org/10.3390/jcm14238373

Acute coronary syndrome is the primary reason for admission to cardiology services and involves significant resource consumption. Currently, low-risk patients are recommended for discharge within the first 48–72 h, enabling early initiation of cardiac rehabilitation with proper follow-up. This is crucial not only as an efficiency marker but also because current evidence has shown it to be a safe and feasible strategy. Thus, this work aims to provide a comprehensive review of the current evidence on early discharge in acute coronary syndrome and propose a new, intuitive, objective, and easy-to-use tool: the LATE2ACS protocol. This is a narrative, hypothesis-generating review; LATE2ACS is presented as a preliminary, exploratory checklist rather than a definitive or implementable score. Its added value lies in operationalizing post-PCI early discharge decision-making across ACS as a pragmatic bedside checklist that complements, rather than replaces, prognostic scores such as TIMI, GRACE, Zwolle, and CADILLAC.

Related Topics

Medicine

Acute Coronary Syndrome

Checklist

Emergency Medicine

Work (Physics)

Preventive Healthcare

Concepts

Medicine Acute coronary syndrome Checklist Operationalization Protocol (science) Intensive care medicine Hospital discharge Medical emergency Rehabilitation Resource (disambiguation) Value (mathematics) Emergency medicine Work (physics) Secondary prevention Coronary angiography Patient discharge Exploratory research MEDLINE Current (fluid)

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Type: article
Language: en
Landing Page: https://doi.org/10.3390/jcm14238373
PDF: https://www.mdpi.com/2077-0383/14/23/8373/pdf?version=1764088106
OA Status: gold
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OpenAlex ID: https://openalex.org/W7106611515

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DOI: https://doi.org/10.3390/jcm14238373

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Title: A Novel Protocol for Feasibility and Safety in Early Discharge with ACS

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Type: article

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Language: en

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Publication year: 2025

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Publication date: 2025-11-25

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Authors: Karim Jamhour-Chelh

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Landing page: https://doi.org/10.3390/jcm14238373

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PDF URL: https://www.mdpi.com/2077-0383/14/23/8373/pdf?version=1764088106

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Concepts: Medicine, Acute coronary syndrome, Checklist, Operationalization, Protocol (science), Intensive care medicine, Hospital discharge, Medical emergency, Rehabilitation, Resource (disambiguation), Value (mathematics), Emergency medicine, Work (physics), Secondary prevention, Coronary angiography, Patient discharge, Exploratory research, MEDLINE, Current (fluid)

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