Diagnostic evaluation of acute coronary syndrome in elderly patients at the emergency department
Bahrmann P, Popp S, Bertsch T, Sieber C, Christ M (2013)
Publication Status: Published
Publication Type: Journal article
Publication year: 2013
Journal
Publisher: SPRINGER
Book Volume: 16
Pages Range: 284-290
Journal Issue: 4
DOI: 10.1007/s10049-012-1622-5
Abstract
Elderly patients admitted to hospital with acute chest pain must be investigated in a timely and structured manner. The evaluation of an acute coronary syndrome includes a physical examination, recording of a 12-lead electrocardiogram (ECG), measurement of cardiac biomarkers, usually of troponin T or I and an echocardiographic examination in addition to the past medical history. The evaluation is frequently followed by an observation period with monitoring of ECG and troponin and possibly by a stress test.With consideration of all findings the diagnosis of an acute myocardial infarction can be made. The diagnosis among elderly patients is frequently difficult as they often exhibit atypical complaints. Patients who are at high or intermediate risk for future cardiovascular events should undergo an invasive evaluation. Low-risk patients have a favorable prognosis and can be treated as outpatients. This article provides an overview on the diagnosis of acute coronary syndrome in elderly patients.
Authors with CRIS profile
Philipp Bahrmann
Lehrstuhl für Innere Medizin (Geriatrie)
Cornel Sieber
Lehrstuhl für Innere Medizin (Geriatrie)
Involved external institutions
Germany (DE)How to cite
APA:
Bahrmann, P., Popp, S., Bertsch, T., Sieber, C., & Christ, M. (2013). Diagnostic evaluation of acute coronary syndrome in elderly patients at the emergency department. Notfall & Rettungsmedizin, 16(4), 284-290. https://doi.org/10.1007/s10049-012-1622-5
MLA:
Bahrmann, Philipp, et al. "Diagnostic evaluation of acute coronary syndrome in elderly patients at the emergency department." Notfall & Rettungsmedizin 16.4 (2013): 284-290.
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