Division of Cardiology, Heart and Vascular Institute, Milton S. Hershey Medical Center, Penn State University, 500 University Drive, Hershey, PA 17033, USA.
Department of Emergency Medicine, Cooper Medical School of Rowan University, One Cooper Plaza, Camden, NJ 08103, USA.
Med Clin North Am. 2015 Jul;99(4):835-47. doi: 10.1016/j.mcna.2015.02.010. Epub 2015 Apr 11.
Chest pain is a common complaint in the emergency department. Recognition of chest pain symptoms and electrocardiographic changes consistent with acute coronary syndrome (ACS) can lead to prompt initiation of goal-directed therapy. Cardiac troponin testing confirms the diagnosis of acute myocardial infarction, but does not reveal the mechanism of injury. When patients with chest pain rule out for ACS the use of advanced, noninvasive testing has not been found to be associated with better patient outcomes.
胸痛是急诊科常见的主诉。识别胸痛症状和与急性冠状动脉综合征（ACS）一致的心电图改变可导致及时开始目标导向治疗。心肌肌钙蛋白检测可确诊急性心肌梗死，但无法揭示损伤机制。当胸痛患者排除 ACS 后，使用先进的非侵入性检测并未发现与更好的患者结局相关。
