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11 Οκτ 2022 · The dominant value of the hs-cTn assays is to accelerate chest pain evaluation in the ED, with more patients ruled out faster, allowing more rapid ED discharge, and thus decreasing ED crowding and limiting unnecessary use of resources.
All patients attending an ED with chest pain that could be cardiac should be given a high triage priority to allow rapid assessment and treatment. All patients should receive adequate analgesia and aspirin. Patients with AMI who require fibrinolytic agents should be identified and treatment started.
The ACC/AHA Joint Committee on Clinical Practice Guidelines has commissioned this guideline to focus on the evaluation of acute or stable chest pain or other anginal equivalents, in various clinical settings, with an emphasis on the diagnosis on ischemic causes.
20 Ιαν 2020 · Introduction. This paper provides an update on the European Society of Cardiology (ESC) task force report on the management of chest pain. 1 A consensus statement on the pre-hospital management of patients with chest pain and/or dyspnoea of cardiac origin has previously been published. 2.
27 Οκτ 2023 · This review highlights the comprehensive differential diagnoses of chest pain in the ED and urgent management of these etiologies, with a focus on cardiovascular etiologies.
3 Αυγ 2004 · Portable echocardiography is reasonable to clarify the diagnosis of STEMI and allow risk stratification of patients with chest pain on arrival at the ED, especially if the diagnosis of STEMI is confounded by left bundle-branch block (LBBB) or pacing, or there is suspicion of posterior STEMI with anterior ST depressions.
30 Ιουλ 2024 · This topic review will discuss life-threatening and common causes of chest pain and provide an approach to the evaluation of an adult with chest pain in the ED. The outpatient evaluation of an adult with chest pain is discussed separately.