Christine Cutugno is a clinical professor in the graduate program at the Hunter-Bellevue School of Nursing, New York City. Contact author:
Am J Nurs. 2022 May 1;122(5):56-58. doi: 10.1097/01.NAJ.0000830768.27347.ca.
Revised guidelines by a joint committee of the American College of Cardiology and the American Heart Association have been released to improve early identification and management of chest pain. Clinical goals of the guidelines are to identify life-threatening causes of chest pain, determine a patient's clinical stability, and assess whether the patient needs to be hospitalized or can safely be treated on an outpatient basis. For patients who don't require immediate intervention, risk stratification assessment and following clinical decision pathways are recommended.
美国心脏病学会和美国心脏协会联合委员会发布了修订指南,以改善胸痛的早期识别和管理。指南的临床目标是确定胸痛的危及生命的原因,确定患者的临床稳定性,并评估患者是否需要住院治疗或可以安全地进行门诊治疗。对于不需要立即干预的患者,建议进行风险分层评估并遵循临床决策路径。