Criteria of the German Society of Cardiology for the establishment of chest pain units: update 2014

被引:40
作者
Post, Felix [1 ]
Gori, Tommaso [2 ,3 ]
Giannitsis, Evangelos [4 ]
Darius, Harald [5 ]
Baldus, Stephan [6 ]
Hamm, Christian [7 ]
Hambrecht, Rainer [8 ]
Hofmeister, Hans Martin [9 ]
Katus, Hugo [4 ]
Perings, Stefan [10 ]
Senges, Jochen [11 ]
Muenzel, Thomas [2 ,3 ]
机构
[1] Katholisches Klinikum Koblenz Montabaur, Koblenz, Germany
[2] Univ Med Mainz, Med Klin 1, D-55131 Mainz, Germany
[3] Univ Med Mainz, Poliklin Kardiol Angiol & Internist Intensivmed, D-55131 Mainz, Germany
[4] Klin Kardiol Angiol & Pneumonol, Heidelberg, Germany
[5] Vivantes Klinikum Neukolln, Dept Kardiol Innere Med & Intensivmed, Berlin, Germany
[6] Uniklin Koln, Klinikum Innere Med 3, Cologne, Germany
[7] Max Planck Inst Physiol & Clin Res, Kerckhoff Klin, Bad Nauheim, Germany
[8] Herzzentrum Bremen, Klin Kardiol & Angiol, Bremen, Germany
[9] Kardiol & Allgemeine Innere Med, Solingen, Germany
[10] Cardiozentrum, Dusseldorf, Germany
[11] Inst Herzinfarktforsch, Ludwigshafen, Germany
关键词
Chest pain; Certification; Requirements network guidelines; ACUTE MYOCARDIAL-INFARCTION; ACUTE CORONARY SYNDROMES; EUROPEAN-SOCIETY; EMERGENCY-DEPARTMENT; AORTIC DISSECTION; TASK-FORCE; TROPONIN-I; GUIDELINES; MANAGEMENT; DIAGNOSIS;
D O I
10.1007/s00392-015-0888-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Since 2008, the German Cardiac Society (DGK) has been establishing a network of certified chest pain units (CPUs). The goal of CPUs was and is to carry out differential diagnostics of acute or newly occurring chest pain of undetermined origin in a rapid and goal-oriented manner and to take immediate therapeutic measures. The basis for the previous certification process was criteria that have been established and published by the task force on CPUs. These criteria regulate the spatial and technical requirements and determine diagnostic and therapeutic strategies in patients with chest pain. Furthermore, the requirements for the organization of CPUs and the training requirements for the staff of a CPU are defined. The certification process is carried out by the DGK; currently, 225 CPUs are certified and 139 CPUs have been recertified after running for a period of 3 years. The certification criteria have now been revised and updated according to new guidelines.
引用
收藏
页码:918 / 928
页数:11
相关论文
共 42 条
[1]   Recurrent ischaemia during continuous multilead ST-segment monitoring identifies patients with acute coronary syndromes at high risk of adverse cardiac events - Meta-analysis of three studies involving 995 patients [J].
Akkerhuis, KM ;
Klootwijk, PAJ ;
Lindeboom, W ;
Umans, VAWM ;
Meij, S ;
Kint, PP ;
Simoons, ML .
EUROPEAN HEART JOURNAL, 2001, 22 (21) :1997-2006
[2]  
[Anonymous], 2007, KLINIKARZT, DOI DOI 10.1055/S-2007-985346
[3]  
[Anonymous], EUR HEART J
[4]   European Resuscitation Council Guidelines for Resuscitation 2010 Section 5 Initial management of acute coronary syndromes [J].
Arntz, Hans-Richard ;
Bossaert, Leo L. ;
Danchin, Nicolas ;
Nikolaou, Nikolaos I. .
RESUSCITATION, 2010, 81 (10) :1353-1363
[5]   Undetectable High-Sensitivity Cardiac Troponin T Level in the Emergency Department and Risk of Myocardial Infarction [J].
Bandstein, Nadia ;
Ljung, Rickard ;
Johansson, Magnus ;
Holzmann, Martin J. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2014, 63 (23) :2569-2577
[6]   Benefit of early invasive therapy in acute coronary syndromes: A meta-analysis of contemporary randomized clinical trials [J].
Bavry, Anthony A. ;
Kumbhani, Dharam J. ;
Rassi, Andrew N. ;
Bhatt, Deepak L. ;
Askari, Arman T. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2006, 48 (07) :1319-1325
[7]   Chest pain unit concept: Rationale and diagnostic strategies [J].
Blomkalns, AL ;
Gibler, WB .
CARDIOLOGY CLINICS, 2005, 23 (04) :411-+
[8]   Rapid Exclusion of Acute Myocardial Infarction in Patients With Undetectable Troponin Using a High-Sensitivity Assay [J].
Body, Richard ;
Carley, Simon ;
McDowell, Garry ;
Jaffe, Allan S. ;
France, Michael ;
Cruickshank, Kennedy ;
Wibberley, Christopher ;
Nuttall, Michelle ;
Mackway-Jones, Kevin .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 58 (13) :1333-1339
[9]  
Breuckmann F, 2008, KARDIOLOGE, V2, P389, DOI 10.1007/s12181-008-0116-7
[10]  
Breuckmann F, 2009, HERZ, V34, P218, DOI 10.1007/s00059-009-3212-y