胸痛的新分类：非心源性胸痛加入，非典型胸痛退出！

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Herz Pub Date : 2024-06-01 Epub Date: 2024-03-01 DOI:10.1007/s00059-024-05240-7

Stephan Settelmeier, Sebastian Steven, Felix Post, Ingo Ahrens, Evangelos Giannitsis, Frank Breuckmann

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引用次数: 0

摘要

胸痛是急诊科的诊断难题，需要进行全面的临床评估。传统的 "非典型 "胸痛和 "典型 "胸痛之间的区别有可能无法解决非缺血性临床症状。新设想的细分方法是将出现症状的原因分为心脏原因、可能的心脏原因和（可能的）非心脏原因，从而采用一种更跨学科的方法来制定以症状为导向的诊断算法。德国胸痛科的诊断结构目前并未反映出这一点。因此应考虑进行调整。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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New categorization of chest pain: noncardiac is in, atypical is out!

Chest pain poses a diagnostic challenge in the emergency department and requires a thorough clinical assessment. The traditional distinction between "atypical" and "typical" chest pain carries the risk of not addressing nonischemic clinical pictures. The newly conceived subdivision into cardiac, possibly cardiac, and (probably) noncardiac causes of the presenting symptom complex addresses a much more interdisciplinary approach to a symptom-oriented diagnostic algorithm. The diagnostic structures of the chest pain units in Germany do not currently reflect this. An adaptation should therefore be considered.

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来源期刊

Herz 医学-心血管系统

CiteScore

3.00

自引率

5.90%

发文量

审稿时长

4-8 weeks

期刊介绍： Herz is the high-level journal for further education for all physicians interested in cardiology. The individual issues of the journal each deal with specific topics and comprise review articles in English and German written by competent and esteemed authors. They provide up-to-date and comprehensive information concerning the speciality dealt with in the issue. Due to the fact that all relevant aspects of the pertinent topic of an issue are considered, an overview of the current status and progress in cardiology is presented. Reviews and original articles round off the spectrum of information provided.