Gibler W Brian, Cannon Christopher P, Blomkalns Andra L, Char Douglas M, Drew Barbara J, Hollander Judd E, Jaffe Allan S, Jesse Robert L, Newby L Kristin, Ohman E Magnus, Peterson Eric D, Pollack Charles V
University of Cincinnati College of Medicine, USA.
Ann Emerg Med. 2005 Aug;46(2):185-97. doi: 10.1016/j.annemergmed.2005.04.022.
In the United States each year, >5.3 million patients present to emergency departments with chest discomfort and related symptoms. Ultimately, >1.4 million individuals are hospitalized for unstable angina and non-ST-segment elevation myocardial infarction. For emergency physicians and cardiologists alike, these patients represent an enormous challenge to accurately diagnose and appropriately treat. This update of the 2002 American College of Cardiology/American Heart Association Guidelines for the Management of Patients with Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction (UA/NSTEMI) provides an evidence-based approach to the diagnosis and treatment of these patients in the emergency department, in-hospital, and after hospital discharge. Despite publication of the guidelines several years ago, many patients with UA/NSTEMI still do not receive guidelines-indicated therapy.
在美国，每年有超过530万患者因胸部不适及相关症状前往急诊科就诊。最终，超过140万人因不稳定型心绞痛和非ST段抬高型心肌梗死住院治疗。对于急诊医生和心脏病专家而言，准确诊断和合理治疗这些患者都是巨大的挑战。此次对2002年美国心脏病学会/美国心脏协会不稳定型心绞痛和非ST段抬高型心肌梗死（UA/NSTEMI）患者管理指南的更新，提供了一种基于证据的方法，用于在急诊科、住院期间及出院后对这些患者进行诊断和治疗。尽管这些指南在几年前就已发布，但许多UA/NSTEMI患者仍未接受指南推荐的治疗。
