Acute chest pain is one of the most common symptoms in emergency departments. Immediate assessment is mandatory on arrival in order to ensure the appropriate care. Diagnostic work-up should be based on conventional tools, i.e. clinical presentation, physical examination, electrocardiogram, as well as on modern information, i.e. biochemical markers of myocardial damage or provocative tests. Firstly, physicians should assess the likelihood that signs and symptoms have a cardiac origin secondary to coronary artery disease. Afterwards, the risk for ischemic complications should be stratified. To this end, several scores have been derived from clinical trials in order to improve prediction of outcome. Also, use of critical pathways can improve guideline adherence. In the "real world", a variety of barriers to optimal management of acute chest pain still exists. An agreement on specific protocols is often difficult to achieve between different specialties. Also, no official guidelines on low-risk chest pain patients or patients with non-cardiac chest pain are available. Finally, the minimal data set of diagnostic tools that should be applied in case of acute chest pain in any emergency setting is still lacking.

[Management of acute chest pain in the emergency department] / Tanzi, Pietro; Pelliccia, Francesco. - In: GIORNALE ITALIANO DI CARDIOLOGIA. - ISSN 1827-6806. - STAMPA. - 7:3(2006), p. 165-75.

[Management of acute chest pain in the emergency department]

PELLICCIA, FRANCESCO
2006

Abstract

Acute chest pain is one of the most common symptoms in emergency departments. Immediate assessment is mandatory on arrival in order to ensure the appropriate care. Diagnostic work-up should be based on conventional tools, i.e. clinical presentation, physical examination, electrocardiogram, as well as on modern information, i.e. biochemical markers of myocardial damage or provocative tests. Firstly, physicians should assess the likelihood that signs and symptoms have a cardiac origin secondary to coronary artery disease. Afterwards, the risk for ischemic complications should be stratified. To this end, several scores have been derived from clinical trials in order to improve prediction of outcome. Also, use of critical pathways can improve guideline adherence. In the "real world", a variety of barriers to optimal management of acute chest pain still exists. An agreement on specific protocols is often difficult to achieve between different specialties. Also, no official guidelines on low-risk chest pain patients or patients with non-cardiac chest pain are available. Finally, the minimal data set of diagnostic tools that should be applied in case of acute chest pain in any emergency setting is still lacking.
2006
Acute Disease; Aged; Algorithms; Angina Pectoris; Clinical Protocols; Creatine Kinase, MB Form; Diagnosis, Differential; Echocardiography; Electrocardiography; Female; Forecasting; Humans; Male; Myocardial Infarction; Practice Guidelines as Topic; Risk Factors; Triage; Troponin; Chest Pain; Emergency Service, Hospital
01 Pubblicazione su rivista::01a Articolo in rivista
[Management of acute chest pain in the emergency department] / Tanzi, Pietro; Pelliccia, Francesco. - In: GIORNALE ITALIANO DI CARDIOLOGIA. - ISSN 1827-6806. - STAMPA. - 7:3(2006), p. 165-75.
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/896970
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 3
  • ???jsp.display-item.citation.isi??? 1
social impact