Practical implementation of the guidelines for unstable angina/non-ST-segment elevation myocardial infarction in the emergency department - A Scientific Statement from the American Heart Association Council on Clinical Cardiology (Subcommittee on Acute Cardiac Care), Council on Cardiovascular Nursing, and Quality of Care and Outcomes Research Interdisciplinary Working Group, in Collaboration with the Society of Chest Pain Centers
Practical implementation of the guidelines for unstable angina/non-ST-segment elevation myocardial infarction in the emergency department - A Scientific Statement from the American Heart Association Council on Clinical Cardiology (Subcommittee on Acute Cardiac Care), Council on Cardiovascular Nursing, and Quality of Care and Outcomes Research Interdisciplinary Working Group, in Collaboration with the Society of Chest Pain Centers
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DOI：
10.1161/01.cir.0000165556.44271.be
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发表时间：
2005-05-24
期刊：
影响因子：
37.8
通讯作者：
Pollack, CV
中科院分区：
文献类型：
--
作者：
Gibler, WB;Cannon, CP;Pollack, CV
在美国，每年有超过530万患者因胸部不适和相关症状而到急诊室就诊。最终，> 140万人因不稳定型心绞痛和非ST段抬高型心肌梗死住院。对于急诊医生和心脏病专家来说，这些患者代表了准确诊断和适当治疗的巨大挑战。2002年美国心脏病学会/美国心脏协会不稳定型心绞痛和非ST段抬高型心肌梗死患者管理指南的更新（UA/NSTEMI）提供了一种基于证据的方法来诊断和治疗这些患者在急诊室，住院期间和出院后。尽管指南几年前就已发布，但许多UA/NSTEMI患者仍然没有接受指南指示的治疗。
In the United States each year, >5.3 million patients present to emergency departments with chest discomfort and related symptoms. Ultimately, >1.4 million individuals are hospitalized for unstable angina and non-ST-segment elevation myocardial infarction. For emergency physicians and cardiologists alike, these patients represent an enormous challenge to accurately diagnose and appropriately treat. This update of the 2002 American College of Cardiology/ American Heart Association Guidelines for the Management of Patients with Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction (UA/NSTEMI) provides an evidence-based approach to the diagnosis and treatment of these patients in the emergency department, in-hospital, and after hospital discharge. Despite publication of the guidelines several years ago, many patients with UA/NSTEMI still do not receive guidelines-indicated therapy.