The clinics of acute coronary syndrome

被引：19

作者：

Cervellin, Gianfranco ^{[1
]}

Rastelli, Gianni ^{[2
]}

机构：

[1] Acad Hosp Parma, Emergency Dept, I-43126 Parma, Italy

[2] Hosp Fidenza Vaio, Emergency Dept, Fidenza, Italy

来源：

ANNALS OF TRANSLATIONAL MEDICINE | 2016年 / 4卷 / 10期

关键词：

Chest pain; acute coronary syndrome (ACS); myocardial infarction (MI); unstable angina (UA); ST elevation MI (STEMI); NSTEMI; ACUTE MYOCARDIAL-INFARCTION; CHEST-PAIN HISTORY; EMERGENCY-DEPARTMENT; DIAGNOSTIC-ACCURACY; MISSED DIAGNOSES; GLOBAL REGISTRY; RISK-FACTORS; SYMPTOMS; CARDIOLOGY; GESTALT;

D O I：

10.21037/atm.2016.05.10

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Risk stratification and management of patients with chest pain continues to be challenging despite considerable efforts made in the last decades by many clinicians and researchers. The throutful evaluation necessitates that the physicians have a high index of suspicion for acute coronary syndrome (ACS) and always keep in mind the myriad of often subtle and atypical presentations of ischemic heart disease, especially in certain patient populations such as the elderly ones. In this article we aim to review and discuss the available evidence on the value of clinical presentation in patients with a suspected ACS, with special emphasis on history, characteristics of chest pain, associated symptoms, atypical presentations, precipitating and relieving factors, drugs, clinical rules and significance of clinical Gestalt.

引用

页数：9

共 68 条

[1] Evolution in cardiovascular care for elderly patients with non-ST-segment elevation acute coronary syndromes - Results from the CRUSADE national quality improvement initiative [J].

Alexander, KP ;

Roe, MT ;

Chen, AY ;

Lytle, BL ;

Pollack, CV ;

Foody, JM ;

Boden, WE ;

Smith, SC ;

Gibler, WB ;

Ohman, EM ;

Peterson, ED .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2005, 46 (08) :1479-1487

[2] Myocardial infarction redefined -: A consensus Document of the Joint European Society of Cardiology/American College of Cardiology Committee for the Redefinition of Myocardial Infarction [J].

Alpert, JS ;

Antman, E ;

Apple, F ;

Armstrong, PW ;

Bassand, JP ;

de Luna, AB ;

Beller, G ;

Breithardt, G ;

Chaitman, BR ;

Clemmensen, P ;

Falk, E ;

Fishbein, MC ;

Galvani, M ;

Garson, A ;

Grines, C ;

Hamm, C ;

Jaffe, A ;

Katus, H ;

Kjekshus, J ;

Klein, W ;

Klootwijk, P ;

Lenfant, C ;

Levy, D ;

Levy, RI ;

Luepker, R ;

Marcus, F ;

Näslund, U ;

Ohman, M ;

Pahlm, O ;

Poole-Wilson, P ;

Popp, R ;

Alto, P ;

Pyörälä, K ;

Ravkilde, J ;

Rehnquist, N ;

Roberts, W ;

Roberts, R ;

Roelandt, J ;

Rydén, L ;

Sans, S ;

Simoons, ML ;

Thygesen, K ;

Tunstall-Pedoe, H ;

Underwood, R ;

Uretsky, BF ;

Van de Werf, F ;

Voipio-Pulkki, LM ;

Wagner, G ;

Wallentin, L ;

Wijns, W .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 36 (03) :959-969

[3] Chronic nitrate therapy is associated with different presentation and evolution of acute coronary syndromes: insights from 52 693 patients in the Global Registry of Acute Coronary Events [J].

Ambrosio, Giuseppe ;

Del Pinto, Maurizio ;

Tritto, Isabella ;

Agnelli, Giancarlo ;

Bentivoglio, Maurizio ;

Zuchi, Cinzia ;

Anderson, Frederick A. ;

Gore, Joel M. ;

Lopez-Sendon, Jose ;

Wyman, Allison ;

Kennelly, Brian M. ;

Fox, Keith A. A. .

EUROPEAN HEART JOURNAL, 2010, 31 (04) :430-438

[4] Effect of marriage on duration of chest pain associated with acute myocardial infarction before seeking care [J].

Atzema, Clare L. ;

Austin, Peter C. ;

Huynh, Thao ;

Hassan, Ansar ;

Chiu, Maria ;

Wang, Julie T. ;

Tu, Jack V. .

CANADIAN MEDICAL ASSOCIATION JOURNAL, 2011, 183 (13) :1482-1491

[5] MAGNITUDE AND CAUSES OF MORTALITY DIFFERENCES BETWEEN MARRIED AND UNMARRIED MEN [J].

BENSHLOMO, Y ;

SMITH, GD ;

SHIPLEY, M ;

MARMOT, MG .

JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 1993, 47 (03) :200-205

[6] Can emergency physicians 'rule in' and 'rule out' acute myocardial infarction with clinical judgement? [J].

Body, Richard ;

Cook, Gary ;

Burrows, Gillian ;

Carley, Simon ;

Lewis, Philip S. .

EMERGENCY MEDICINE JOURNAL, 2014, 31 (11) :872-876

[7] The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes [J].

Body, Richard ;

Carley, Simon ;

Wibberley, Christopher ;

McDowell, Garry ;

Ferguson, Jamie ;

Mackway-Jones, Kevin .

RESUSCITATION, 2010, 81 (03) :281-286

[8]

BOISAUBIN EV, 1988, TEX HEART I J, V15, P80

[9] Acute coronary syndromes without chest pain, an underdiagnosed and undertreated high-risk group - Insights from the Global Registry of Acute Coronary Events [J].

Brieger, D ;

Eagle, KA ;

Goodman, SG ;

Steg, PG ;

Budaj, A ;

White, K ;

Montalescot, G .

CHEST, 2004, 126 (02) :461-469

[10] The 'Perfect Storm' and Acute Coronary Syndrome Onset: Do Psychosocial Factors Play a Role? [J].

Burg, Matthew M. ;

Edmondson, Donald ;

Shimbo, Daichi ;

Shaffer, Jonathan ;

Kronish, Ian M. ;

Whang, William ;

Alcantara, Carmela ;

Schwartz, Joseph E. ;

Muntner, Paul ;

Davidson, Karina W. .

PROGRESS IN CARDIOVASCULAR DISEASES, 2013, 55 (06) :601-610

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