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[ANMCO/SIMEU Consensus document: In-hospital management of patients presenting with chest pain]. / Documento di consenso ANMCO/SIMEU: Gestione intraospedaliera dei pazienti che si presentano con dolore toracico.
Zuin, Guerrino; Parato, Vito Maurizio; Groff, Paolo; Gulizia, Michele Massimo; Di Lenarda, Andrea; Cassin, Matteo; Cibinel, Gian Alfonso; Del Pinto, Maurizio; Di Tano, Giuseppe; Nardi, Federico; Rossini, Roberta; Ruggieri, Maria Pia; Ruggiero, Enrico; Scotto Di Uccio, Fortunato; Valente, Serafina.
Afiliação
  • Zuin G; U.O. Cardiologia, Ospedale dell'Angelo, Mestre (VE).
  • Parato VM; U.O.C. Cardiologia Indirizzo Riabilitativo, Ospedale Madonna del Soccorso, San Benedetto del Tronto (AP).
  • Groff P; Medicina d'Urgenza, Ospedale Madonna del Soccorso, San Benedetto del Tronto (AP).
  • Gulizia MM; U.O.C. Cardiologia, Ospedale Garibaldi-Nesima, Azienda di Rilievo Nazionale e Alta Specializzazione "Garibaldi", Catania.
  • Di Lenarda A; S.C. Centro Cardiovascolare, Azienda Sanitaria Universitaria Integrata, Trieste.
  • Cassin M; S.O.C. Cardiologia, A.O. Santa Maria degli Angeli, Pordenone - S.C. Medicina d'Urgenza, Azienda Ospedaliera di Pinerolo (TO).
  • Del Pinto M; S.C. Cardiologia, Azienda Ospedaliera di Perugia, Perugia.
  • Di Tano G; U.O. Cardiologia, Ospedale ASST, Cremona.
  • Nardi F; S.O.C. Cardiologia, Ospedale Castelli, Verbania.
  • Rossini R; Dipartimento Cardiovascolare, ASST Papa Giovanni XXIII, Bergamo.
  • Ruggieri MP; Dipartimento d'Emergenza-Accettazione, A.O. San Giovanni-Addolorata, Roma.
  • Ruggiero E; U.O.C. Medicina d'Urgenza e Pronto Soccorso, Ospedale San Paolo, Napoli.
  • Scotto Di Uccio F; U.O. Cardiologia-UTIC, Ospedale di Loreto Mare, Loreto Mare (NA).
  • Valente S; Cardiologia Intensiva Integrata, AOU Careggi, Firenze.
G Ital Cardiol (Rome) ; 17(6): 416-46, 2016 Jun.
Article em It | MEDLINE | ID: mdl-27311086
ABSTRACT
Chest pain is a common general practice presentation that requires careful diagnostic assessment because of its diverse and potentially serious causes. However, the evaluation of acute chest pain remains challenging, despite many new insights over the past two decades. The percentage of patients presenting to the emergency departments because of acute chest pain appears to be increasing. Nowadays, there are two essential chest pain-related issues 1) the missed diagnoses of acute coronary syndromes with a poor short-term prognosis; 2) the increasing percentage of hospitalizations of low-risk cases.It is well known that hospitalization of a low-risk chest pain patient can lead to unnecessary tests and procedures, with an increasing trend of complications and burden of costs. Therefore, the significantly reduced financial resources of healthcare systems induce physicians and administrators to improve the efficiency of care protocols for patients with acute chest pain. Despite the efforts of the Scientific Societies in producing statements on this topic, in Italy there is still a significant difference between emergency physicians and cardiologists in managing patients with chest pain. For this reason, the aim of the present consensus document is double first, to review the evidence-based efficacy and utility of various diagnostic tools, and, second, to delineate the critical pathways (describing key steps) that need to be implemented in order to standardize the management of chest pain patients, making a correct diagnosis and treatment as uniform as possible across the entire country.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dor no Peito / Serviço Hospitalar de Emergência Tipo de estudo: Diagnostic_studies / Etiology_studies / Guideline / Prognostic_studies / Risk_factors_studies Limite: Humans País como assunto: Europa Idioma: It Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dor no Peito / Serviço Hospitalar de Emergência Tipo de estudo: Diagnostic_studies / Etiology_studies / Guideline / Prognostic_studies / Risk_factors_studies Limite: Humans País como assunto: Europa Idioma: It Ano de publicação: 2016 Tipo de documento: Article