Literature DB >> 16278116

Acute coronary syndromes in the emergency department: diagnostic characteristics, tests, and challenges.

J Hector Pope1, Harry P Selker.   

Abstract

Failure to diagnose patients who have acute coronary syndromes (ACSs)-either acute myocardial infarction (AMI) or unstable angina pectoris (UAP)-who present to the emergency department (ED) remains a serious public health issue. Better understanding of the pathophysiology of coronary artery disease has allowed the adoption of a unifying hypothesis for the cause of ACSs: the conversion of a stable atherosclerotic lesion to a plaque rupture with thrombosis. Thus, physicians have come to appreciate UAP and AMI as parts of a continuum of ACSs. This article reviews the state of the art regarding the diagnosis of ACSs in the emergency setting and suggests reasons why missed diagnosis continues to occur, albeit infrequently.

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Year:  2005        PMID： 16278116     DOI： 10.1016/j.ccl.2005.08.012

Source DB:  PubMed          Journal:  Cardiol Clin        ISSN： 0733-8651            Impact factor:   2.213


  7 in total

Review 1.  Myocardial perfusion imaging with contrast echocardiography.

Authors:  Chad L Carr; Jonathan R Lindner
Journal:  Curr Cardiol Rep       Date:  2008-05       Impact factor: 2.931

2.  Computed tomographic coronary artery calcium assessment for evaluating chest pain in the emergency department: long-term outcome of a prospective blind study.

Authors:  Dennis A Laudon; Thomas R Behrenbeck; Christina M Wood; Kent R Bailey; Christopher M Callahan; Jerome F Breen; Larry F Vukov
Journal:  Mayo Clin Proc       Date:  2010-04       Impact factor: 7.616

Review 3.  Myocardial contrast echocardiography after myocardial infarction.

Authors:  Hiroshi Ito
Journal:  Curr Cardiol Rep       Date:  2012-06       Impact factor: 2.931

4.  Evaluation of the diagnostic performance of current and next-generation assays for cardiac troponin I in the BWH-TIMI ED Chest Pain Study.

Authors:  Marc P Bonaca; Christian T Ruff; Joshua Kosowsky; Michael J Conrad; Sabina A Murphy; Marc S Sabatine; Petr Jarolim; David A Morrow
Journal:  Eur Heart J Acute Cardiovasc Care       Date:  2013-09

5.  Prevalence of Acute Coronary Syndrome in Patients Suspected for Pulmonary Embolism or Acute Aortic Syndrome: Rationale for the Triple Rule-Out Concept.

Authors:  Saad Al Qahtani; Ahmed Y Kandeel; Stephane Breault; Anne-Marie Jouannic; Salah D Qanadli
Journal:  J Clin Med Res       Date:  2015-06-09

6.  High-sensitive troponin T assay for the diagnosis of acute myocardial infarction: an economic evaluation.

Authors:  Anil Vaidya; Johan L Severens; Brenda W C Bongaerts; Kitty B J M Cleutjens; Patty J Nelemans; Leonard Hofstra; Marja van Dieijen-Visser; Erik A L Biessen
Journal:  BMC Cardiovasc Disord       Date:  2014-06-13       Impact factor: 2.298

7.  Unsuspected pulmonary embolism in observation unit patients.

Authors:  Alexander T Limkakeng; Seth W Glickman; Charles B Cairns; Abhinav Chandra
Journal:  West J Emerg Med       Date:  2009-08
  7 in total

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