AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR-Leitlinie 2021 zum Thoraxschmerz

Herz - Tập 47 - Trang 48-54 - 2022
Bernhard Maisch1,2,3
1Medizinische Fakultät, Philipps-Universität, Marburg, Deutschland
2Herz- und Gefäßzentrum Marburg, Marburg, Deutschland
3Marburg, Deutschland

Tóm tắt

Die AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR-Leitlinie 2021 zum Thoraxschmerz wählt den Brustschmerz als ein einziges, aber wichtiges Symptom zum zentralen Thema. Sie greift dabei zurück auf zahlreiche Leitlinien zu kardialen Krankheitsentitäten wie dem Myokardinfarkt mit (STEMI) oder ohne ST-Strecken-Hebung (NSTEMI), die chronische koronare Herzkrankheit (KHK), die Perikarditis oder die Aortendissektion. Oder sie nimmt Bezug auf Leitlinien zu kardialen Syndromen wie dem akuten Koronarsyndrom (ACS) oder dem ACS ohne persistierende ST-Strecken-Hebungen (NSTE-ACS), in denen Angina pectoris integraler Bestandteil ist. Sie differenziert zwischen akutem, instabilem Brustschmerz einerseits und stabilem Thoraxschmerz andererseits und berücksichtigt auch Anginaäquivalente wie Dyspnoe im Kontext von kardialen und nichtkardialen Erkrankungen. Sie wägt die nicht-invasiven und invasiven diagnostischen Methoden unter dem Gesichtspunkt einer Kosten-Nutzen-Analyse sorgfältig gegeneinander ab. Dabei ist der Trend zu evidenzbasierten, kostengünstigen nicht-invasiven Methoden in den letzten Jahren unverkennbar.

Tài liệu tham khảo

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