Gach O, El Husseini Z, Lancellotti P
Service de Cardiologie, CHU Sart Tilman, Liège, Belgique .
IFAC, Hôpitaux de Marche et Bastogne, Belgique.
Rev Med Liege. 2018 May;73(5-6):243-250.
Acute coronary syndromes represent a major cause of mortality in our country. There is a very wide spectrum of clinical presentation since the actual classification of acute coronary syndromes is based on electrocardiographic presentation, that is to say based on absence or presence of ST segment elevation. When dealing with an acute chest pain, once the probability of acute coronary syndrome is established, the emergency care must follow the scientific guidelines. One of the critical steps is represented by the evaluation of ischaemic and hemorrhagic risk in order to tailor optimally antithrombotic and anticoagulation therapies and revascularization timing. This article summarizes the main points of the emergency care from the diagnosis to risk stratification.
急性冠状动脉综合征是我国主要的死亡原因之一。由于急性冠状动脉综合征的实际分类是基于心电图表现，也就是说基于ST段抬高的有无，其临床表现范围非常广泛。当处理急性胸痛时，一旦确定急性冠状动脉综合征的可能性，紧急护理必须遵循科学指南。关键步骤之一是以评估缺血和出血风险为代表，以便优化抗栓和抗凝治疗以及血运重建时机。本文总结了从诊断到风险分层的紧急护理要点。
