An Algorithm for the Diagnosis and Management of Chest Pain in Primary Care

被引：22

作者：

Yelland, Michael ^{[1
]}

Cayley, William E., Jr. ^{[2
]}

Vach, Werner ^{[3
]}

机构：

[1] Griffith Univ, Sch Med, Meadowbrook, Qld 4131, Australia

[2] Univ Wisconsin, Dept Family Med, UW Hlth Eau Claire Family Med Residency, Eau Claire, WI 54701 USA

[3] Univ Med Ctr Freiburg, Inst Med Biometry & Med Informat, D-79104 Freiburg, Germany

来源：

MEDICAL CLINICS OF NORTH AMERICA | 2010年 / 94卷 / 02期

关键词：

Chest pain; Algorithm; Diagnosis; Evidence; SUSPECTED PULMONARY-EMBOLISM; ASSOCIATION TASK-FORCE; SIMPLE CLINICAL-MODEL; AMERICAN-COLLEGE; HEART-FAILURE; GENERAL-PRACTICE; LUNG-CANCER; TROPONIN-T; D-DIMER; SUBLINGUAL NITROGLYCERIN;

D O I：

10.1016/j.mcna.2010.01.011

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This article focuses on the key clinical and investigatory features that help differentiate the multiple causes of chest pain in adults in assessment of patients with undifferentiated chest pain in primary care using history, physical examination, and basic initial investigations. The initial treatment of many of the causes is discussed. Some treatments not only relieve symptoms but also provide further diagnostic information based on the response to treatment. Guidance for referral for specialist assessment and further investigations is provided, but the diagnostic usefulness of these measures is not discussed.

引用

页码：349 / +

页数：27

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