Diagnose des akuten Koronarsyndroms
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Diagnose des akuten Koronarsyndroms. / Schnabel, R B; Post, F; Blankenberg, S.
In: DEUT MED WOCHENSCHR, Vol. 139 Suppl 1, 01.2014, p. S9-12.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Diagnose des akuten Koronarsyndroms
AU - Schnabel, R B
AU - Post, F
AU - Blankenberg, S
N1 - © Georg Thieme Verlag KG Stuttgart · New York.
PY - 2014/1
Y1 - 2014/1
N2 - The acute coronary syndrome (ACS) is one of the most frequent differential diagnoses in emergency medicine. The causal mechanism of the ACS most often is an atherosclerotic plaque rupture. The differential diagnosis of ACS is guided by the clinical symptom of chest discomfort. The diagnosis is based on the electrocardiographic, biomarker and imaging findings before targeted therapy can be initiated. Over the last years we have witnessed breakthroughs in imaging techniques and the application of biomarkers such as highly sensitive or ultrasensitive cardiac troponin assays. They permit an early and sensitive diagnosis of ACS. Furthermore, they exhibit a high negative predictive value for a safe rule-out. Trained personnel and optimized structures in chest pain units constitute optimal conditions for a guideline conform therapy of patients with ACS. The number of certified chest pain units in Germany has constantly been increasing.
AB - The acute coronary syndrome (ACS) is one of the most frequent differential diagnoses in emergency medicine. The causal mechanism of the ACS most often is an atherosclerotic plaque rupture. The differential diagnosis of ACS is guided by the clinical symptom of chest discomfort. The diagnosis is based on the electrocardiographic, biomarker and imaging findings before targeted therapy can be initiated. Over the last years we have witnessed breakthroughs in imaging techniques and the application of biomarkers such as highly sensitive or ultrasensitive cardiac troponin assays. They permit an early and sensitive diagnosis of ACS. Furthermore, they exhibit a high negative predictive value for a safe rule-out. Trained personnel and optimized structures in chest pain units constitute optimal conditions for a guideline conform therapy of patients with ACS. The number of certified chest pain units in Germany has constantly been increasing.
KW - Acute Coronary Syndrome/diagnosis
KW - Algorithms
KW - Biomarkers/blood
KW - Coronary Artery Disease/diagnosis
KW - Diagnosis, Differential
KW - Diagnostic Imaging
KW - Electrocardiography
KW - Humans
KW - Myocardial Infarction/diagnosis
KW - Troponin T/blood
U2 - 10.1055/s-0033-1360000
DO - 10.1055/s-0033-1360000
M3 - SCORING: Review
C2 - 24446046
VL - 139 Suppl 1
SP - S9-12
JO - DEUT MED WOCHENSCHR
JF - DEUT MED WOCHENSCHR
SN - 0012-0472
ER -
