Göğüs Ağrısı İle Acil Servise Başvuran Hastada Öncelikler
Yıl 2016,
Cilt: 13 Sayı: 3, 248 - 252, 30.12.2016
Hasan Büyükaslan
,
Uğur Lök
,
Umut Gülaçtı
Öz
Acil servise başvuruların önemli bir yüzdesini oluşturan göğüs ağrısında hızlı klinik değerlendirmeye ilave
olarak öncelikli ve doğru elektrokardiyografik değerlendirme ile ısrarcı takibin yapılması, mortalite ve
morbiditede azalma sağlamaktadır. Bu hastalarda özellikle de elektrokardiyografik değerlendirme
öncesinde yapılacak gereksiz ve zaman alıcı tetkiklerden uzak durulmalıdır.
Kaynakça
- 1. Alpert JS, Thygesen K, Antman E, Bassand JP.
Myocardial infarction redefined-a consensus document
of The Joint European Society of Cardiology/American
College of Cardiology Committee for the redefinition of
my o c a r d i a l i n f a r c ti o n . J AmCo llCa r d i o l
2000;36(3):959-69.
- 2. Braunwald E, Zipes DP, Libby P, editors. Braunwald's
heart disease: a textbook of cardiovascular medicine. 7th
ed. Philadelphia: W. B. Saunders, 2001:66-69.
- 3. Task Force Members, Montalescot G, Sechtem U,
Achenbach S, Andreotti F, Arden C, Budaj A. et al. 2013
ESC guidelines on the management of stable coronary
artery disease: the Task Force on the management of
stable coronary artery disease of the European Society of
Cardiology. EurHeart J. 2013;34(38):2949-3003.
- 4. Amsterdam EA, Kirk JD, Bluemke DA, Diercks D,
Farkouh ME, Garvey JL, et al. American Heart
Association Exercise, Cardiac Rehabilitation, and
Prevention Committee of the Council on Clinical
Cardiology, Council on Cardiovascular Nursing, and
Interdisciplinary Council on Quality of Care and
Outcomes Research. Testing of low-risk patients
presenting to the emergency department with chest pain: a
scientific statement from the American Heart
Association. Circulation2010;122(17):1756-76.
- 5. Van de Werf F, Bax J, Betriu A, Blomstrom-Lundqvist
C, Crea F, FalkVet al. ESC guidelines on management of
acute myocardial infarction in patients presenting with
persistent ST-segment elevation. RevEspCardiol
2009;62(3):293.
- 6. Pope JH, Aufderheide TP, Ruthazer R, Woolard RH,
Feldman JA, Beshansky JR, et al. Missed diagnoses of
acute cardiac ischemia in the emergency department. N
Engl J Med2000;342(3):1163-70.
- 7. Diercks DB, Peacock WF, Hiestand BC, Chen AY,
Pollack CV, Kirk JD,et al. Frequency and consequences
of recording an electrocardiogram> 10 minutes after
arrival in an emergency room in non–ST-segment
elevation acute coronary syndromes (from the
CRUSADE Initiative). Am J Cardiol2006;97(4):437-42.
- 8 . To p o l EJ, e d it o r. To p o l'sTe x t b o o k o f
CardiovascularMedicine. 6th ed. Philadelphia:
Lippincott Williams &Wilkins, 2002: 391-410.
- 9.Wittels K. Aortic emergencies. Emerg Med Clin North
Am 2011;29(4):789-800.
- 10. Omar HR, Mangar D, Khetarpal S, Shapiro DH, Kolla J,
Rashad R, et al. Anteroposterior chest radiograph vs. chest
CT scan in early detection of pneumothorax in
traumapatients. IntArchMed2011;4(1):30.
- 11. Aytekin S, Aytekin V, Güzelsoy D, Öztürk M, Demiroğlu
C. Koroner Arterleri Normal Olan Hastalarda
AnginaPektoris Nedenleri Üstüne Bir Araştırma. GKD
Cer.Derg1992;1(1):177-80.
- 12. Yavaşoğlu İ, KadıköylüG, Köseoğlu K, Bolaman
Z.Yaşlı hastada kronik mezenterik iskeminin stentle başarılı
tedavisi. Turkish Journal of Geriatrics2007;10(4):197-9.
- 13. Silber SH, Leo PJ, Katapadi M. Serial
electrocardiograms for chest pain patients with initial non
diagnostic electrocardiograms: Implications for
thrombolytict herapy. Acad Emerg Med.1996;3(2):147-52.
- 14. Westbrook JL. Oesophageal achalasia causing
respiratory obstruction. Anaesthesia.1992;47(1):38-40.
Priorities in Patient Presenting to EmergencyDepartment with Chest Pain
Yıl 2016,
Cilt: 13 Sayı: 3, 248 - 252, 30.12.2016
Hasan Büyükaslan
,
Uğur Lök
,
Umut Gülaçtı
Öz
In addition to rapid clinical evaluation, preferential and right electrocardiographic assessment and also
insistent follow up of the complaint of chest pain that constitute a significant percentage of emergency
department admission, provides a reduction in mortality and morbidity in the patients admitted to emergency
department with chest pain. Unnecessary and time-consuming diagnostic tests should be avoided in this
patient population, especially before the electrocardiographic evaluation.
Kaynakça
- 1. Alpert JS, Thygesen K, Antman E, Bassand JP.
Myocardial infarction redefined-a consensus document
of The Joint European Society of Cardiology/American
College of Cardiology Committee for the redefinition of
my o c a r d i a l i n f a r c ti o n . J AmCo llCa r d i o l
2000;36(3):959-69.
- 2. Braunwald E, Zipes DP, Libby P, editors. Braunwald's
heart disease: a textbook of cardiovascular medicine. 7th
ed. Philadelphia: W. B. Saunders, 2001:66-69.
- 3. Task Force Members, Montalescot G, Sechtem U,
Achenbach S, Andreotti F, Arden C, Budaj A. et al. 2013
ESC guidelines on the management of stable coronary
artery disease: the Task Force on the management of
stable coronary artery disease of the European Society of
Cardiology. EurHeart J. 2013;34(38):2949-3003.
- 4. Amsterdam EA, Kirk JD, Bluemke DA, Diercks D,
Farkouh ME, Garvey JL, et al. American Heart
Association Exercise, Cardiac Rehabilitation, and
Prevention Committee of the Council on Clinical
Cardiology, Council on Cardiovascular Nursing, and
Interdisciplinary Council on Quality of Care and
Outcomes Research. Testing of low-risk patients
presenting to the emergency department with chest pain: a
scientific statement from the American Heart
Association. Circulation2010;122(17):1756-76.
- 5. Van de Werf F, Bax J, Betriu A, Blomstrom-Lundqvist
C, Crea F, FalkVet al. ESC guidelines on management of
acute myocardial infarction in patients presenting with
persistent ST-segment elevation. RevEspCardiol
2009;62(3):293.
- 6. Pope JH, Aufderheide TP, Ruthazer R, Woolard RH,
Feldman JA, Beshansky JR, et al. Missed diagnoses of
acute cardiac ischemia in the emergency department. N
Engl J Med2000;342(3):1163-70.
- 7. Diercks DB, Peacock WF, Hiestand BC, Chen AY,
Pollack CV, Kirk JD,et al. Frequency and consequences
of recording an electrocardiogram> 10 minutes after
arrival in an emergency room in non–ST-segment
elevation acute coronary syndromes (from the
CRUSADE Initiative). Am J Cardiol2006;97(4):437-42.
- 8 . To p o l EJ, e d it o r. To p o l'sTe x t b o o k o f
CardiovascularMedicine. 6th ed. Philadelphia:
Lippincott Williams &Wilkins, 2002: 391-410.
- 9.Wittels K. Aortic emergencies. Emerg Med Clin North
Am 2011;29(4):789-800.
- 10. Omar HR, Mangar D, Khetarpal S, Shapiro DH, Kolla J,
Rashad R, et al. Anteroposterior chest radiograph vs. chest
CT scan in early detection of pneumothorax in
traumapatients. IntArchMed2011;4(1):30.
- 11. Aytekin S, Aytekin V, Güzelsoy D, Öztürk M, Demiroğlu
C. Koroner Arterleri Normal Olan Hastalarda
AnginaPektoris Nedenleri Üstüne Bir Araştırma. GKD
Cer.Derg1992;1(1):177-80.
- 12. Yavaşoğlu İ, KadıköylüG, Köseoğlu K, Bolaman
Z.Yaşlı hastada kronik mezenterik iskeminin stentle başarılı
tedavisi. Turkish Journal of Geriatrics2007;10(4):197-9.
- 13. Silber SH, Leo PJ, Katapadi M. Serial
electrocardiograms for chest pain patients with initial non
diagnostic electrocardiograms: Implications for
thrombolytict herapy. Acad Emerg Med.1996;3(2):147-52.
- 14. Westbrook JL. Oesophageal achalasia causing
respiratory obstruction. Anaesthesia.1992;47(1):38-40.