Practical Implementation of the Guidelines for Unstable Angina/Non–ST-Segment Elevation Myocardial Infarction in the Emergency Department

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• 作者：W. Brian Gibler ; Christopher P. Cannon ; Andra L. Blomkalns ; Douglas M. Char ; Barbara J. Drew ; Judd E. Holl ; er ; Allan S. Jaffe ; Robert L. Jesse ; L. Kristin Newby ; E. Magnus Ohman ; Eric D. Peterson ; Ch
• 关键词：patient- and family-centered care ; family-centered care ; family member presence ; cultural sensitivity ; pediatric patient’ ; s medical home
• 刊名：Annals of Emergency Medicine
• 出版年：2005
• 出版时间：August 2005
• 年：2005
• 卷：46
• 期：2
• 页码：185-197
• 全文大小：348 K

文摘

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.