Yalçinkaya Selim
Department of Cardiology, Faculty of Medicine, Akdeniz University, Antalya, Turkey.
Anadolu Kardiyol Derg. 2006 Apr;6 Suppl 1:2-7.
Patients with either unstable angina or non ST elevation myocardial infarction are usually submitted to the emergency department with similar symptoms and signs. Generally cardiac enzyme determinations can differentiate these two conditions. Elevation of these enzymes and their detection in blood stream takes a certain amount of time. A number of studies demonstrated lately that the high risk patients benefit more aggressive treatment modalities. Risk stratification and identification of the high risk patients became an essential part of the evaluation in emergency departments.
不稳定型心绞痛或非ST段抬高型心肌梗死患者通常因相似的症状和体征被送往急诊科。一般来说,心肌酶测定可以区分这两种情况。这些酶的升高及其在血流中的检测需要一定时间。最近的一些研究表明,高危患者受益于更积极的治疗方式。风险分层和高危患者的识别已成为急诊科评估的重要组成部分。