Dissecting Into the 2021 Chest Pain Guidelines.

剖析 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.2021.10.019
• PMID: 35036938
• 文章类型: Case Reports
• 作者列表: Dong T,Jaber WA,Dong T,Jaber WA

关键词: ACC/AHA, American College of Cardiology/American Heart Association; ACS, acute coronary syndrome; CABG, coronary artery bypass grafting; CMR, cardiac magnetic resonance; CTA, computed tomography angiography; CTAG, Conformable Gore Tag Thoracic Endoprosthesis; ECG, electrocardiogram; LOE, Level of Evidence; RCA, right coronary artery; TEE, transesophageal echocardiogram; TTE, transthoracic echocardiogram; acute coronary syndrome; aortic dissection; chest pain; ACC/AHA, American College of Cardiology/American Heart Association; ACS, acute coronary syndrome; CABG, coronary artery bypass grafting; CMR, cardiac magnetic resonance; CTA, computed tomography angiography; CTAG, Conformable Gore Tag Thoracic Endoprosthesis; ECG, electrocardiogram; LOE, Level of Evidence; RCA, right coronary artery; TEE, transesophageal echocardiogram; TTE, transthoracic echocardiogram; acute coronary syndrome; aortic dissection; chest pain

Abstract

Although acute coronary syndromes remain crucial diagnoses of chest pain that cannot be missed, there are several other potentially fatal diagnoses that can manifest similarly. This case report applies the 2021 chest pain guidelines emphasizing the importance of considering alternative nonischemic but still serious presentations under the umbrella of chest pain. (Level of Difficulty: Advanced.).

摘要

尽管急性冠状动脉综合征仍然是胸痛的关键诊断，不能错过，还有其他几种可能致命的诊断也可以类似地表现出来.此病例报告适用2021年胸痛指南，强调在胸痛的保护伞下考虑替代非缺血性但仍严重的表现的重要性。（难度等级：高级。).