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Effektiviserad utredning möjlig vid misstänkt akut koronart syndrom. Nya undersökningsmetoder kan ge bättre vårdkvalitet och spara resurser

Ekelund, Ulf LU ; Nilsson, Hans-Jörgen LU ; Torffvit, Ole LU and Hansen, Jakob Lundager LU (2005) In Läkartidningen 102(7). p.464-466
Abstract
The immediate evaluation of patients with suspected acute coronary syndrome (ACS) in the emergency department (ED) has remained almost unchanged for decades. At the same time, therapy for established ACS has undergone a remarkable and successful change towards early active intervention. Studies show that 7 out of 10 patients admitted with a suspicion of ACS do not have it, and that 2-5% of the patients with ACS are incorrectly sent home from the ED. With new diagnostic strategies, including e.g. risk prediction algorithms, new blood samples for plaque instability, special investigations like echocardiography, myocardial perfusion imaging and magnetic resonance imaging, as well as the Chest Pain Unit concept, improvements should definitely... (More)
The immediate evaluation of patients with suspected acute coronary syndrome (ACS) in the emergency department (ED) has remained almost unchanged for decades. At the same time, therapy for established ACS has undergone a remarkable and successful change towards early active intervention. Studies show that 7 out of 10 patients admitted with a suspicion of ACS do not have it, and that 2-5% of the patients with ACS are incorrectly sent home from the ED. With new diagnostic strategies, including e.g. risk prediction algorithms, new blood samples for plaque instability, special investigations like echocardiography, myocardial perfusion imaging and magnetic resonance imaging, as well as the Chest Pain Unit concept, improvements should definitely be possible. With the structured and evidence-based use of such strategies, it is our belief that more patients can be managed as outpatients, that length of stay can be shortened for those admitted, and that some patients with ACS can get an earlier adequate intervention. (Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acute Disease, Chest Pain: diagnosis, Coronary Disease: diagnosis, Coronary Disease: therapy, English Abstract, Humans, Predictive Value of Tests, Quality of Health Care, Risk Assessment
in
Läkartidningen
volume
102
issue
7
pages
464 - 466
publisher
Swedish Medical Association
external identifiers
  • scopus:14644435746
  • pmid:15768695
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
4f00a166-cb1e-44b1-bf58-6bde01821d3b (old id 134954)
alternative location
https://lakartidningen.se/klinik-och-vetenskap-1/2005/02/effektiviserad-utredning-mojlig-vid-misstankt-akut-koronart-syndrom/
date added to LUP
2016-04-01 16:27:49
date last changed
2021-03-30 16:59:39
@article{4f00a166-cb1e-44b1-bf58-6bde01821d3b,
  abstract     = {The immediate evaluation of patients with suspected acute coronary syndrome (ACS) in the emergency department (ED) has remained almost unchanged for decades. At the same time, therapy for established ACS has undergone a remarkable and successful change towards early active intervention. Studies show that 7 out of 10 patients admitted with a suspicion of ACS do not have it, and that 2-5% of the patients with ACS are incorrectly sent home from the ED. With new diagnostic strategies, including e.g. risk prediction algorithms, new blood samples for plaque instability, special investigations like echocardiography, myocardial perfusion imaging and magnetic resonance imaging, as well as the Chest Pain Unit concept, improvements should definitely be possible. With the structured and evidence-based use of such strategies, it is our belief that more patients can be managed as outpatients, that length of stay can be shortened for those admitted, and that some patients with ACS can get an earlier adequate intervention.},
  author       = {Ekelund, Ulf and Nilsson, Hans-Jörgen and Torffvit, Ole and Hansen, Jakob Lundager},
  issn         = {0023-7205},
  language     = {swe},
  number       = {7},
  pages        = {464--466},
  publisher    = {Swedish Medical Association},
  series       = {Läkartidningen},
  title        = {Effektiviserad utredning möjlig vid misstänkt akut koronart syndrom. Nya undersökningsmetoder kan ge bättre vårdkvalitet och spara resurser},
  url          = {https://lakartidningen.se/klinik-och-vetenskap-1/2005/02/effektiviserad-utredning-mojlig-vid-misstankt-akut-koronart-syndrom/},
  volume       = {102},
  year         = {2005},
}