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急诊科胸痛患者的评估与风险分层。危及生命事件的预测因素。

Evaluation and risk stratification of patients with chest pain in the emergency department. Predictors of life-threatening events.

作者信息

Zalenski R J, Shamsa F, Pede K J

机构信息

Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, Michigan, USA.

出版信息

Emerg Med Clin North Am. 1998 Aug;16(3):495-517, vii. doi: 10.1016/s0733-8627(05)70015-8.

DOI:10.1016/s0733-8627(05)70015-8
PMID:9739772
Abstract

While assessing chest pain in the emergency department, physicians must first estimate the probability of acute ischemic states in the patient. This first estimate is based on the patient's history, physical examination, and electrocardiogram. Patients who meet the threshold for acute cardiac ischemia are further evaluated to confirm or exclude this diagnosis, while other life-threatening factors are excluded.

摘要

在急诊科评估胸痛时，医生必须首先估计患者急性缺血状态的可能性。这一初步估计基于患者的病史、体格检查和心电图。达到急性心脏缺血阈值的患者会接受进一步评估以确诊或排除该诊断，同时排除其他危及生命的因素。

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Emerg Med Clin North Am. 1998 Aug;16(3):495-517, vii. doi: 10.1016/s0733-8627(05)70015-8.
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引用本文的文献

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Modified thrombolysis in myocardial infarction (TIMI) risk score to risk stratify patients in the emergency department with possible acute coronary syndrome.改良心肌梗死溶栓（TIMI）风险评分用于对急诊科疑似急性冠脉综合征患者进行风险分层。
J Thromb Thrombolysis. 2007 Oct;24(2):137-44. doi: 10.1007/s11239-007-0013-0. Epub 2007 Feb 21.
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Chest pain with nondiagnostic electrocardiogram in the emergency department: a randomized controlled trial of two cardiac marker regimens.急诊科心电图无诊断意义的胸痛：两种心脏标志物方案的随机对照试验
CMAJ. 2000 May 30;162(11):1561-6.