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KERD
논문KCI 등재

급성 흉통의 평가 및 감별 진단

Evaluation and Diagnosis of Acute Chest Pain

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초록

Acute chest pain is a frequent cause of visits to emergency departments. As the major etiologies of such pain include life-threatening acute myocardial infarction, aortic dissection, and pulmonary embolism, prompt diagnosis and management are essential. After exclusion of coronary artery disease, other cardiac causes must be considered. In this review, we discuss the diagnosis of acute chest pain with a focus on clinical symptoms and the initial examination.

Abstract

Acute chest pain is a frequent cause of visits to emergency departments. As the major etiologies of such pain include life-threatening acute myocardial infarction, aortic dissection, and pulmonary embolism, prompt diagnosis and management are essential. After exclusion of coronary artery disease, other cardiac causes must be considered. In this review, we discuss the diagnosis of acute chest pain with a focus on clinical symptoms and the initial examination.

참고문헌 (9)

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  6. Klompas M, "Does this patient have an acute thoracic aortic dissection?", JAMA, 287, pp.2262~2272 (2002)
  7. Perrier A, "Non-invasive diagnosis of venous thromboembolism in outpatients", Lancet, 353, pp.190~195 (1999)
  8. Collet JP, "2020 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation", Eur Heart J, 42, pp.1289~1367 (2021)
  9. Dahlslett T, "Early assessment of strain echocardiography can accurately exclude significant coronary artery stenosis in suspected non-ST-segment elevation acute coronary syndrome", J Am Soc Echocardiogr, 27, pp.512~519 (2014)

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