Amsterdam Ezra A, Deedwania Prakash
University of California, Davis, School of Medicine, USA.
Postgrad Med. 2005 Sep;118(3):15-6, 19-22. doi: 10.3810/pgm.2005.09.1703.
Accurate and rapid diagnostic tests can help identify high-risk patients with ACS among those presenting to the emergency department with chest pain. Such tests can also differentiate low-risk patients with chest pain who are suitable for early emergency department discharge. In this article, Drs Amsterdam and Deedwania elucidate the varieties of ACS, their pathophysiology, and the methods used for diagnosis. The authors also explore the potential of point-of-care testing for cardiac injury markers in the timely and accurate identification of ACS.
准确而快速的诊断测试有助于在因胸痛前往急诊科就诊的患者中识别出患有急性冠状动脉综合征（ACS）的高危患者。此类测试还可以区分适合早期从急诊科出院的低危胸痛患者。在本文中，阿姆斯特丹博士和迪德瓦尼亚博士阐明了急性冠状动脉综合征的种类、其病理生理学以及用于诊断的方法。作者们还探讨了即时检测心脏损伤标志物在及时、准确识别急性冠状动脉综合征方面的潜力。
