Triaging Down the 2021 Chest Pain Guidelines.

分类 2021 年胸痛指南。

• 发表时间: Jan 2022 5
• 来源期刊: JACC Case Rep
• DOI: 10.1016/j.jaccas.2021.12.003
• PMID: 35036937
• 文章类型: Case Reports
• 作者列表: Dong T,Parizher G,Jaber WA,Dong T,Parizher G,Jaber WA

关键词: ACS, acute coronary syndrome; CCTA, coronary computed tomography angiography; ECG, electrocardiogram; GRACE, Global Registry of Acute Coronary Events; NSTEMI; RCA, right coronary artery; SPECT, single-photon emission computed tomography; TIMI, Thrombolysis In Myocardial Infarction; acute coronary syndrome; nuclear imaging; stress testing; unstable angina; ACS, acute coronary syndrome; CCTA, coronary computed tomography angiography; ECG, electrocardiogram; GRACE, Global Registry of Acute Coronary Events; NSTEMI; RCA, right coronary artery; SPECT, single-photon emission computed tomography; TIMI, Thrombolysis In Myocardial Infarction; acute coronary syndrome; nuclear imaging; stress testing; unstable angina

Abstract

We applied the 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR chest pain guidelines to a case of a 76-year-old woman with no known coronary disease presenting to the emergency department with acute chest pain and an intermediate probability of acute coronary syndrome. Her workup per the guidelines involved rapid electrocardiogram, high-sensitivity troponins, nuclear stress testing, and eventually coronary invasive angiography. (Level of Difficulty: Advanced.).

摘要

我们将2021年AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR胸痛指南应用于一名76岁女性，该女性无已知冠心病，因急性胸痛和急性冠状动脉综合征的中等概率而向急诊科就诊。根据指南，她的检查包括快速心电图，高灵敏度肌钙蛋白，核压力测试,最终冠状动脉侵入性血管造影。（难度等级：高级。).