کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3000443 | 1180331 | 2010 | 16 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Emergency Department and Office-Based Evaluation of Patients With Chest Pain
دانلود مقاله + سفارش ترجمه
دانلود مقاله ISI انگلیسی
رایگان برای ایرانیان
کلمات کلیدی
ETTCTCATIMIACCCPUACSAHAcMRIMPIChFADPMyocardial infarction - آنفارکتوس میوکاردcomputed tomographic coronary angiography - آنژیوگرافی کرونر توموگرافی کامپیوتریElectrocardiography - الکتروکاردیوگرافی یا قلبنگاریECG - الکتروکاردیوگرام یا نوار قلبAmerican Heart Association - انجمن قلب آمریکاemergency department - بخش اورژانسcoronary artery disease - بیماری عروق کرونرThrombolysis In Myocardial Infarction - ترومبولیزیس در انفارکتوس میوکاردExercise treadmill testing - تست تردمیل ورزشcardiac magnetic resonance imaging - تصویربرداری رزونانس مغز قلبMyocardial perfusion imaging - تصویربرداری پرفیوژن میوکاردcomputed tomography - توموگرافی کامپیوتری یا سی تی اسکن یا مقطعنگاری رایانهایAcute coronary syndrome - سندرم کرونری حادCAD - طراحی به کمک رایانه یا کَدChronic heart failure - نارسایی مزمن قلبیchest pain unit - واحد درد قفسه سینهAmerican College of Cardiology - کالج آمریکایی قلب و عروق
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
![عکس صفحه اول مقاله: Emergency Department and Office-Based Evaluation of Patients With Chest Pain Emergency Department and Office-Based Evaluation of Patients With Chest Pain](/preview/png/3000443.png)
چکیده انگلیسی
The management of patients with chest pain is a common and challenging clinical problem. Although most of these patients do not have a life-threatening condition, the clinician must distinguish between those who require urgent management of a serious problem such as acute coronary syndrome (ACS) and those with more benign entities who do not require admission. Although clinical judgment continues to be paramount in meeting this challenge, new diagnostic modalities have been developed to assist in risk stratification. These include markers of cardiac injury, risk scores, early stress testing, and noninvasive imaging of the heart. The basic clinical tools of history, physical examination, and electrocardiography are currently widely acknowledged to allow early identification of low-risk patients who have less than 5% probability of ACS. These patients are usually initially managed in the emergency department and transitioned to further outpatient evaluation or chest pain units. Multiple imaging strategies have been investigated to accelerate diagnosis and to provide further risk stratification of patients with no initial evidence of ACS. These include rest myocardial perfusion imaging, rest echocardiography, computed tomographic coronary angiography, and cardiac magnetic resonance imaging. All have very high negative predictive values for excluding ACS and have been successful in reducing unnecessary admissions for patients at low to intermediate risk of ACS. As patients with acute chest pain transition from the evaluation in the emergency department to other outpatient settings, it is important that all clinicians involved in the care of these patients understand the tools used for assessment and risk stratification.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Mayo Clinic Proceedings - Volume 85, Issue 3, March 2010, Pages 284-299
Journal: Mayo Clinic Proceedings - Volume 85, Issue 3, March 2010, Pages 284-299
نویسندگان
Michael C. MD, Deborah B. MD, J. Douglas MD,