Journals / Harran Üniversitesi Tıp Fakültesi Dergisi / 2016 / Cilt: 13 - Sayı: 3

Priorities in Patient Presenting to EmergencyDepartment with Chest Pain

Göğüs Ağrısı İle Acil Servise Başvuran Hastada Öncelikler

Pages
248–252
Publication Date
2016-12-30
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Unnecessary and time-consuming diagnostic tests should be avoided in this patient population, especially before the electrocardiographic evaluation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In addition to rapid clinical evaluation, preferential and right electrocardiographic assessment and also insistent follow up of the complaint of chest pain that constitute a significant percentage of emergency department admission, provides a reduction in mortality and morbidity in the patients admitted to emergency department with chest pain.
📊
Key Findings & Data:In addition to rapid clinical evaluation, preferential and right electrocardiographic assessment and also insistent follow up of the complaint of chest pain that constitute a significant percentage of emergency department admission, provides a reduction in mortality and morbidity in the patients admitted to emergency department with chest pain.
💡
Conclusion & Impact:Unnecessary and time-consuming diagnostic tests should be avoided in this patient population, especially before the electrocardiographic evaluation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Acil servis · Elektrokardiyografi · Göğüs ağrısı

Abstract

In addition to rapid clinical evaluation, preferential and right electrocardiographic assessment and also insistent follow up of the complaint of chest pain that constitute a significant percentage of emergency department admission, provides a reduction in mortality and morbidity in the patients admitted to emergency department with chest pain. Unnecessary and time-consuming diagnostic tests should be avoided in this patient population, especially before the electrocardiographic evaluation.

Özet

Acil servise başvuruların önemli bir yüzdesini oluşturan göğüs ağrısında hızlı klinik değerlendirmeye ilave olarak öncelikli ve doğru elektrokardiyografik değerlendirme ile ısrarcı takibin yapılması, mortalite ve morbiditede azalma sağlamaktadır. Bu hastalarda özellikle de elektrokardiyografik değerlendirme öncesinde yapılacak gereksiz ve zaman alıcı tetkiklerden uzak durulmalıdır.

🔖

Cite This Article

BÜYÜKASLAN, H., LÖK, U., GÜLAÇTI, U. (2016). Priorities in Patient Presenting to EmergencyDepartment with Chest Pain. Harran Üniversitesi Tıp Fakültesi Dergisi, Cilt: 13 - Sayı: 3, 248–252. https://ajindex.com/articles/104243

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (10)

  1. Alpert JS, Thygesen K, Antman E, Bassand JP. Myocardial infarction redefined-a consensus document of The Joint European Society of Cardiology/American College of Cardiology Committee for the redefinition of my o c a r d i a l i n f a r c ti o n. J AmCo llCa r d i o l 2000;36(3):959-69
  2. Braunwald E, Zipes DP, Libby P, editors. Braunwald's heart disease: a textbook of cardiovascular medicine. 7th ed. Philadelphia: W. B. Saunders, 2001:66-69
  3. Task Force Members, Montalescot G, Sechtem U, Achenbach S, Andreotti F, Arden C, Budaj A. et al. 2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology. EurHeart J. 2013;34(38):2949-3003
  4. Amsterdam EA, Kirk JD, Bluemke DA, Diercks D, Farkouh ME, Garvey JL, et al. American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology, Council on Cardiovascular Nursing, and Interdisciplinary Council on Quality of Care and Outcomes Research. Testing of low-risk patients presenting to the emergency department with chest pain: a scientific statement from the American Heart Association. Circulation2010;122(17):1756-76
  5. Van de Werf F, Bax J, Betriu A, Blomstrom-Lundqvist C, Crea F, FalkVet al. ESC guidelines on management of acute myocardial infarction in patients presenting with persistent ST-segment elevation. RevEspCardiol 2009;62(3):293
  6. Pope JH, Aufderheide TP, Ruthazer R, Woolard RH, Feldman JA, Beshansky JR, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med2000;342(3):1163-70
  7. Diercks DB, Peacock WF, Hiestand BC, Chen AY, Pollack CV, Kirk JD,et al. Frequency and consequences of recording an electrocardiogram> 10 minutes after arrival in an emergency room in non–ST-segment elevation acute coronary syndromes (from the CRUSADE Initiative). Am J Cardiol2006;97(4):437-42
  8. To p o l EJ, e d it o r. To p o l'sTe x t b o o k o f CardiovascularMedicine. 6th ed. Philadelphia: Lippincott Williams &Wilkins, 2002: 391-410. 9.Wittels K. Aortic emergencies. Emerg Med Clin North Am 2011;29(4):789-800
  9. Omar HR, Mangar D, Khetarpal S, Shapiro DH, Kolla J, Rashad R, et al. Anteroposterior chest radiograph vs. chest CT scan in early detection of pneumothorax in traumapatients. IntArchMed2011;4(1):30
  10. Aytekin S, Aytekin V, Güzelsoy D, Öztürk M, Demiroğlu C. Koroner Arterleri Normal Olan Hastalar