Assuntos
Cardiologia , Cardiologia/tendências , Cardiopatias/terapia , Humanos , Papel do Médico , EspanhaRESUMO
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Assuntos
Humanos , Cardiologia/tendências , Doenças Cardiovasculares/epidemiologia , Medicina/tendências , Modelos Cardiovasculares , Risco Ajustado/métodos , Isquemia Miocárdica , Endocardite Bacteriana , Insuficiência Cardíaca , Arritmias CardíacasRESUMO
The Spanish Society of Cardiology (SEC) has produced an Ethical Framework Document. This document is divided into two distinct parts that deal, respectively, with the responsibilities of the SEC as an organization and the responsibilities of its professional members. The SEC makes recommendations on how its members should carry out their daily clinical practice, provides a professional perspective on public commitments as a scientific association, and aims to ensure that any views, recommendations, and advice expressed provide the basis for an informed debate on ethical problems in our field of work.
Assuntos
Cardiologia/ética , Ética Institucional , Sociedades Médicas/ética , EspanhaRESUMO
La Sociedad Española de Cardiología (SEC) ha elaborado su «marco ético». Este documento se estructura en 2 partes diferenciadas que tratan sobre la responsabilidad de la SEC como organización y de los profesionales en tanto que socios. La SEC propone a sus miembros unas pautas de actuación en su práctica diaria, establece un horizonte de compromiso cívico como asociación científica, y desea que las reflexiones, las recomendaciones y los consejos reflejados sirvan para debatir responsablemente sobre los problemas éticos de nuestro quehacer
The Spanish Society of Cardiology (SEC) has produced an Ethical Framework Document. This document is divided into two distinct parts that deal, respectively, with the responsibilities of the SEC as an organization and the responsibilities of its professional members. The SEC makes recommendations on how its members should carry out their daily clinical practice, provides a professional perspective on public commitments as a scientific association, and aims to ensure that any views, recommendations, and advice expressed provide the basis for an informed debate on ethical problems in our field of work
Assuntos
Cardiologia/ética , Sociedades Médicas/ética , Ética Institucional , Ética Médica , Indústria Farmacêutica/ética , Revisão Ética , Congresso , Publicações Periódicas como AssuntoRESUMO
The two main goals of chest pain units are the early, accurate diagnosis of acute coronary syndromes and the rapid, efficient recognition of low-risk patients who do not need hospital admission. Many clinical, practical, and economic reasons support the establishment of such units. Patients with chest pain account for a substantial proportion of emergency room turnover and their care is still far from optimal: 8% of patients sent home are later diagnosed of acute coronary syndrome and 60% of admissions for chest pain eventually prove to have been unnecessary.We present a systematic approach to create and manage a chest pain unit employing specialists headed by a cardiologist. The unit may be functional or located in a separate area of the emergency room. Initial triage is based on the clinical characteristics, the ECG and biomarkers of myocardial infarct. Risk stratification in the second phase selects patients to be admitted to the chest pain unit for 6-12 h. Finally, we propose treadmill testing before discharge to rule out the presence of acute myocardial ischemia or damage in patients with negative biomarkers and non-diagnostic serial ECGs.
Assuntos
Dor no Peito/diagnóstico , Doença das Coronárias/diagnóstico , Serviço Hospitalar de Emergência/organização & administração , Clínicas de Dor/organização & administração , Doença Aguda , Biomarcadores/sangue , Dor no Peito/etiologia , Protocolos Clínicos , Doença das Coronárias/complicações , Doença das Coronárias/terapia , Eletrocardiografia , Teste de Esforço , Humanos , Isquemia Miocárdica , SíndromeRESUMO
Los autores plantean el cambio conceptual y en la dinámica asistencial ocurridos en los últimos años en la unidad coronaria. Se exponen los criterios de planificación y organización funcional y jerárquica, así como los argumentos asistenciales básicos para su desarrollo. Las unidades coronarias no deben constituirse de manera aislada sino integradas en el servicio de cardiología, y siempre deben estar dirigidas por un cardiólogo. La unidad coronaria se concibe cada vez más como una unidad de cuidados intensivos para pacientes con cardiopatías agudas o crónicas agudizadas. Se indican las características de su estructura física y equipamiento, así como las del área de cuidados intermedios y de las recientemente creadas camas de dolor torácico. Por último, se comentan los recursos humanos y los criterios de admisión y alta en la unidad coronaria (AU)
