医学
胸痛
医学诊断
重症监护医学
介绍(产科)
急诊科
急性冠脉综合征
急性疼痛
医疗保健
医疗急救
急诊医学
心肌梗塞
内科学
外科
放射科
护理部
经济
经济增长
麻醉
作者
Guerrino Zuin,Vito Maurizio Parato,Paolo Groff,Michele Massimo Gulizia,Andrea Di Lenarda,Matteo Cassin,Gian Alfonso Cibinel,Maurizio Del Pinto,Giuseppe Di Tano,Federico Nardi,Roberta Rossini,Maria Pia Ruggieri,Enrico Ruggiero,Fortunato Scotto di Uccio,Serafina Valente,Anmco,Simeu
出处
期刊:PubMed
日期:2016-06-01
卷期号:17 (6): 416-46
摘要
Chest pain is a common general practice presentation that requires careful diagnostic assessment because of its diverse and potentially serious causes. However, the evaluation of acute chest pain remains challenging, despite many new insights over the past two decades. The percentage of patients presenting to the emergency departments because of acute chest pain appears to be increasing. Nowadays, there are two essential chest pain-related issues: 1) the missed diagnoses of acute coronary syndromes with a poor short-term prognosis; 2) the increasing percentage of hospitalizations of low-risk cases.It is well known that hospitalization of a low-risk chest pain patient can lead to unnecessary tests and procedures, with an increasing trend of complications and burden of costs. Therefore, the significantly reduced financial resources of healthcare systems induce physicians and administrators to improve the efficiency of care protocols for patients with acute chest pain. Despite the efforts of the Scientific Societies in producing statements on this topic, in Italy there is still a significant difference between emergency physicians and cardiologists in managing patients with chest pain. For this reason, the aim of the present consensus document is double: first, to review the evidence-based efficacy and utility of various diagnostic tools, and, second, to delineate the critical pathways (describing key steps) that need to be implemented in order to standardize the management of chest pain patients, making a correct diagnosis and treatment as uniform as possible across the entire country.
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