| Clinical policy: critical issues in the evaluation and management of adult patients presenting with suspected acute myocardial infarction or unstable angina. American College of Emergency Physicians. | |
| | |
MedLine Citation:
|
PMID: 10783419 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
This clinical policy focuses on critical issues in the evaluation and management of patients with acute myocardial infarction or unstable angina. A MEDLINE search for articles published between January 1993 and December 1998 was performed using combinations of the key words chest pain, acute myocardial infarction, unstable angina, thrombolytics, primary angioplasty, 12-lead ECG, ST-segment monitoring, cardiac serum markers, and chest pain centers. Subcommittee members and expert peer reviewers also supplied articles with direct bearing on the policy. This policy focuses on 5 areas of current interest and/or controversy: (1) ECG eligibility criteria for fibrinolytic therapy, (2) role of primary angioplasty in patients with acute myocardial infarction, (3) use of serum markers to diagnose acute myocardial infarction, (4) serial 12-lead ECGs during the initial evaluation, and (5) chest pain evaluation units. Recommendations for patient management are provided for each of these 5 topics based on strength of evidence (Standards, Guidelines, Options). Standards represent patient management principles that reflect a high degree of clinical certainty; Guidelines represent patient management principles that reflect moderate clinical certainty; and Options represent other patient management strategies based on preliminary, inconclusive, or conflicting evidence, or based on panel consensus. This guideline is intended for physicians working in hospital-based emergency departments or chest pain evaluation units. |
| | |
Authors:
|
- |
Related Documents
:
|
19914869 - A single-centre report on the characteristics of tako-tsubo syndrome. 22748279 - The impact of admission red cell distribution width on the development of poor myocardi... 11604379 - Impact of community-based education on health care evaluation in patients with acute ch... 6935549 - Symptom-limited maximal treadmill testing after myocardial infarction. 18340129 - Probability stratification and systematic diagnostic approach for chest pain patients i... 10323699 - A new method of reconstruction for pectus excavatum that preserves blood supply and cos... 1604479 - Coronary venous intimal thickening in explanted cardiac allografts. evidence demonstrat... 6338889 - Effect of very early intervention with metoprolol on myocardial infarct size. 21821529 - Cardioprotection by ivabradine through heart rate reduction and beyond. |
Publication Detail:
|
Type: Guideline; Journal Article; Practice Guideline |
Journal Detail:
|
Title: Annals of emergency medicine Volume: 35 ISSN: 0196-0644 ISO Abbreviation: Ann Emerg Med Publication Date: 2000 May |
Date Detail:
|
Created Date: 2000-05-18 Completed Date: 2000-05-18 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8002646 Medline TA: Ann Emerg Med Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 521-5 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Angina, Unstable / diagnosis, therapy* Biological Markers / blood Critical Care* Electrocardiography Humans Myocardial Infarction / diagnosis, therapy* |
| Chemical | |
Reg. No./Substance:
|
0/Biological Markers |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Tissue plasminogen activator in pediatric myocardial infarction.
Next Document: The role of primary angioplasty in patients presenting with acute myocardial infarction. American Co...