Patients presenting to the Emergency Department (ED) with chest pain remain a major

clinical challenge. In the United States alone there are over eight million annual visits for this problem, resulting in over four million admissions for possible acute coronary syndromes (ACS). The diagnosis and treatment of congestive heart failure (CHF) is also critically important to emergency physicians as 550,000 new cases present annually. Therefore, it is critical for the emergency physician community remain on the forefront of state of the art diagnostic and treatment options involving the newest regimens for ACS and CHF.