Critical decision making in the management of patients with acute myocardial infarction and other acute coronary syndromes

被引:1
作者
Ornato, JP [1 ]
机构
[1] Virginia Commonwealth Univ, Med Coll Virginia, Dept Emergency Med, Richmond, VA 23284 USA
关键词
D O I
10.1016/S0733-8627(05)70184-X
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Optimal management of the patient with possible acute coronary syndrome centers on a series of key decisions. After the need for initial resuscitation is assessed and the patient is stabilized, other questions arise. Is there an acute cardiovascular condition requiring time-dependent treatment? If so, how should disposition be determined with regard to admission decision, level of care, and testing to unmask underlying myocardium at risk? Finally, who should make these decisions? This discussion offers examples of existent institutional diagnosis and treatment pathways.
引用
收藏
页码:283 / +
页数:12
相关论文
共 43 条
  • [21] Malpractice claims against emergency physicians in Massachusetts: 1975-1993
    Karcz, A
    Korn, R
    Burke, MC
    Caggiano, R
    Doyle, MJ
    Erdos, MJ
    Green, ED
    Williams, K
    [J]. AMERICAN JOURNAL OF EMERGENCY MEDICINE, 1996, 14 (04) : 341 - 345
  • [22] RELATIVE IMPORTANCE OF EMERGENCY MEDICAL SYSTEM TRANSPORT AND THE PREHOSPITAL ELECTROCARDIOGRAM ON REDUCING HOSPITAL TIME-DELAY TO THERAPY FOR ACUTE MYOCARDIAL-INFARCTION - A PRELIMINARY-REPORT FROM THE CINCINNATI-HEART-PROJECT
    KEREIAKES, DJ
    GIBLER, WB
    MARTIN, LH
    PIEPER, KS
    ANDERSON, LC
    ABBOTTSMITH, CW
    STUCKERT, J
    SCHWALLIE, R
    RAZAVI, A
    YOUNG, S
    GILBERT, G
    BURNS, A
    DAUGHERTY, M
    MACEJKO, C
    MONTGOMERY, L
    HELD, J
    SMITH, L
    SANGHVI, V
    WAYNE, D
    MEIROSE, G
    KASPER, J
    GOLDSTEIN, E
    DEAN, E
    SIZER, S
    OAKS, J
    DEIMLING, D
    DONOVAN, J
    MOORE, R
    UPHUS, M
    BUEHLER, J
    CORNETT, L
    ASHBROCK, S
    FLETCHER, R
    ALEXANDER, J
    DEIMLING, S
    MCCABE, M
    SCHIFF, G
    CALIFF, R
    TEICHMAN, S
    KEREIAKES, DJ
    MARTIN, LH
    [J]. AMERICAN HEART JOURNAL, 1992, 123 (04) : 835 - 840
  • [23] KUDENCHUK PJ, 1992, AM HEART J, V123, P835
  • [24] RULING OUT ACUTE MYOCARDIAL-INFARCTION - A PROSPECTIVE MULTICENTER VALIDATION OF A 12-HOUR STRATEGY FOR PATIENTS AT LOW-RISK
    LEE, TH
    JUAREZ, G
    COOK, EF
    WEISBERG, MC
    ROUAN, GW
    BRAND, DA
    GOLDMAN, L
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (18) : 1239 - 1246
  • [25] CLINICAL CHARACTERISTICS AND NATURAL-HISTORY OF PATIENTS WITH ACUTE MYOCARDIAL-INFARCTION SENT HOME FROM THE EMERGENCY ROOM
    LEE, TH
    ROUAN, GW
    WEISBERG, MC
    BRAND, DA
    ACAMPORA, D
    STASIULEWICZ, C
    WALSHON, J
    TERRANOVA, G
    GOTTLIEB, L
    GOLDSTEINWAYNE, B
    COPEN, D
    DALEY, K
    BRANDT, AA
    MELLORS, J
    JAKUBOWSKI, R
    COOK, EF
    GOLDMAN, L
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1987, 60 (04) : 219 - 224
  • [26] MISSED DIAGNOSES OF ACUTE MYOCARDIAL-INFARCTION IN THE EMERGENCY DEPARTMENT - RESULTS FROM A MULTICENTER STUDY
    MCCARTHY, BD
    BESHANSKY, JR
    DAGOSTINO, RB
    SELKER, HP
    [J]. ANNALS OF EMERGENCY MEDICINE, 1993, 22 (03) : 579 - 582
  • [28] ORNATO JP, 1996, J AM COLL CARDIOL, V27, P31
  • [29] PEBERDY MA, 1997, CONT INTERN MED, V9, P53
  • [30] Pelberg A L, 1989, Qual Assur Util Rev, V4, P39