Initial evaluation of chest pain

被引：28

作者：

Boie, ET ^{[1
]}

机构：

[1] Mayo Clin, Dept Emergency Med, Rochester, MN 55905 USA

来源：

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2005年 / 23卷 / 04期

关键词：

D O I：

10.1016/j.emc.2005.07.007

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Chest pain is among the most frequently evaluated presenting complaints in the emergency department (ED). Diagnostic etiologies range from benign to life-threatening. Failure to diagnose the life-threatening chest emergencies-specifically acute coronary syndrome, aortic dissection, and pulmonary embolism-can lead to catastrophic medical and legal outcomes for the patient and physician respectively. This article focuses on clinical and risk management strategies to minimize misdiagnosis and produce favorable medical and medicolegal outcomes.

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页码：937 / +

页数：22

相关论文

共 64 条

[1] Thrombosis in the emergency department - Use of a clinical diagnosis model to safely avoid the need for urgent radiological investigation [J].

Anderson, DR ;

Wells, PS ;

Stiell, I ;

MacLeod, B ;

Simms, M ;

Gray, L ;

Robinson, KS ;

Bormanis, J ;

Mitchell, M ;

Lewandowski, B ;

Flowerdew, G .

ARCHIVES OF INTERNAL MEDICINE, 1999, 159 (05) :477-482

[2] Clinical and echocardiographic findings in patients with suspected acute aortic dissection [J].

Armstrong, WF ;

Bach, DS ;

Carey, LM ;

Froehlich, J ;

Lowell, M ;

Kazerooni, EA .

AMERICAN HEART JOURNAL, 1998, 136 (06) :1051-1060

[3] GRADED EXERCISE STRESS TESTS IN ANGIOGRAPHICALLY DOCUMENTED CORONARY-ARTERY DISEASE [J].

BARTEL, AG ;

BEHAR, VS ;

PETER, RH ;

ORGAIN, ES ;

KONG, Y .

CIRCULATION, 1974, 49 (02) :348-356

[4]

Boccardi Lidia, 2003, Ital Heart J, V4, P371

[5]

BONNER S, 1998, ED LEGAL LETT, V9, P105

[6] Hypoglycemia in multiple trauma victims [J].

Brady, WJ ;

Butler, K ;

Fines, R ;

Young, J .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 1999, 17 (01) :4-5

[7] THE CLINICAL COURSE OF PULMONARY-EMBOLISM [J].

CARSON, JL ;

KELLEY, MA ;

DUFF, A ;

WEG, JG ;

FULKERSON, WJ ;

PALEVSKY, HI ;

SCHWARTZ, JS ;

THOMPSON, BT ;

POPOVICH, J ;

HOBBINS, TE ;

SPERA, MA ;

ALAVI, A ;

TERRIN, ML .

NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (19) :1240-1245

[8] Safety and efficiency of emergency department assessment of chest discomfort [J].

Christenson, J ;

Innes, G ;

McKnight, D ;

Boychuk, B ;

Grafstein, E ;

Thompson, CR ;

Rosenberg, F ;

Anis, AH ;

Gin, K ;

Tilley, J ;

Wong, H ;

Singer, J .

CANADIAN MEDICAL ASSOCIATION JOURNAL, 2004, 170 (12) :1803-1807

[9]

Croskerry P., 2003, ED LEGAL LETT, V14, P109

[10] Identification of patients at risk by graded exercise testing in an emergency department chest pain center [J].

Diercks, DB ;

Gibler, WB ;

Liu, TP ;

Sayre, MR ;

Storrow, AB .

AMERICAN JOURNAL OF CARDIOLOGY, 2000, 86 (03) :289-292

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