منابع مشابه
Chest pain evaluation units
Chest pain is a common cause of accident and emergency (A&E) presentation. In the United States, it accounts for 5–6% of new emergency department attendances. 2 The principal challenge in these patients is to identify those with an acute coronary syndrome (ACS). Early diagnosis allows eVective treatment and inadvertent discharge may have disastrous consequences for patient and doctor: in the Un...
متن کاملDefining the role of chest pain units.
Safe, cost-effective management of patients presenting to the emergency department (ED) because of chest pain compatible with myocardial ischemia continues to present a major clinical challenge. Current standards mandate rapid institution of proven therapy for reduction of mortality and morbidity in patients with acute coronary syndromes. However, in most patients presenting to the ED with ches...
متن کامل[Chest pain units and emergency departments].
As emerges from the articles by Drs. Pastor et al1 and Sanchís et al,2 it seems that, fortunately, chest pain units (CPU) have begun to get interesting results from the patient care point of view. Thus, the fact that approximately 80% of low-risk patients with chest pain can be discharged with safety from hospital emergency departments (HED) within 24 hours, following performance of ergometry, ...
متن کاملWhat future for chest pain observation units?
Patients with new or worsening chest pain suggesting acute coronary syndromes need treating as an emergency. Rapid assessment is crucial but diYcult. Patients with acute chest pain now represent 20% or 30% of all emergency medical admissions, yet less than one third of these will have acute coronary syndromes (acute myocardial infarction or unstable angina). The majority thus do not have signif...
متن کاملThe chest pain patient dilemma and discussion for chest pain units.
Patients with an acute coronary syndrome (ACS) and ST-segment elevation (STEMI) benefit from immediate revascularization by percutaneous coronary intervention (PCI) or, if such is not readily available, from thrombolytic therapy. Furthermore, some of those without such electrocardiographic (ECG) findings benefit from early revascularization. Therefore, patients with a possible ACS should be ass...
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ژورنال
عنوان ژورنال: BMJ
سال: 2002
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.325.7356.116