A new pathway in cardiology emergency care - "Chest-pain-units" in the German cardiology hospital affiliation system;Neue wege in der kardiologischen notfallversorgung - "Chest pain unit" im belegarztsystem

Deutsches Arzteblatt

Volumn 104, Issue 27, 2007, Pages

  Nowak, Bernd ^a   Strasheim, Roland ^b   Victor, Anja ^c   Voigtländer, Thomas ^a   Schmermund, Axel ^a   Fach, Wolf Andreas ^a  

^a CARDIOANGIOLOGISCHES CENTRUM BETHANIEN   (Germany)

^b Fach Agaplesion gAG   (Germany)

^c UNIVERSITY MEDICAL CENTER MAINZ   (Germany)

Author keywords

Cardiology hospital affiliation system; Chest pain; Chest pain unit; Coronary heart disease; Myocardial infarction

Indexed keywords

TROPONIN;

ADULT; AGED; AMBULANCE; ANGIOCARDIOGRAPHY; ARTICLE; CARDIAC PATIENT; CORONARY ARTERY DISEASE; CORONARY CARE UNIT; ELECTROCARDIOGRAM; EMERGENCY CARE; EMERGENCY PHYSICIAN; EMERGENCY WARD; FEMALE; GERMANY; HEALTH CARE SYSTEM; HEART CATHETERIZATION; HEART INFARCTION; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; INTERVENTION STUDY; MAJOR CLINICAL STUDY; MALE; PATIENT REFERRAL; PATIENT TRANSPORT; RETROSPECTIVE STUDY; ST SEGMENT ELEVATION; THORAX PAIN;

EID: 34547111530     PISSN: 00121207     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (23)

1. Löwel H, Meisinger C, Heier M, Hörmann A, von Scheidt W: Herzinfarkt und koronare Sterblichkeit in Süddeutschland. Dtsch Arztebl 2006; 103(10): A 616-22.
2. Berger PB, Ellis SG, Holmes DR et al.: Relationship between delay in performing direct coronary angioplasty and early clinical outcome in patients with acute myocardial infarction. Results from the global use of strategies to open occluded arteries in acute coronary syndromes (GUSTO-IIb) trial. Circulation 1999; 100: 14-20.
3. Hamm CW: Leitlinien: Akutes Koronarsyndrom (ACS), Teil 2: Akutes Koronarsyndrom mit ST-Hebung. Z Kardiol 2004; 93: 324-41.
4. Mark B, Meinertz T, Fleck E et al.: Stetige Zunahme der Prähospitalzeit beim akuten Herzinfarkt. Eine Analyse der Entwicklung im bundesweiten Infarktregister (MITRAplus). Dtsch Arztebl 2006; 103(20): A 1378-83.
5. Bradley EH, Curry LA, Webster TR et al.: Achieving rapid door-to-balloon times. How top hospitals improve complex clinical systems. Circulation 2006; 113: 1079-85.
6. Jacobs AK, Antman EM, Ellrodt G et al.: Recommendation to develop strategies to increase the number of ST-segment elevation myocardial infarction patients with timely access to primary percutaneous intervention. The American Heart Association's Acute Myocardial Infarction (AMI) Advisory Working Group. Circulation 2006; 113: 2152-63.
7. Moscucci M, Eagle KA: Door-to-balloon time in primary percutaneous coronary intervention. Is the 90-minute gold standard an unreachable chimera? Circulation 2006; 113: 1048-50.
8. Newby LK: The chest pain unit - ready for prime time? N Engl J Med 1998; 339: 1930-32.
9. Ng SM, Krishnaswamy P, Morissey R, Clopton P, Fitzgerald R, Maisel AS: Ninety-minute accelerated critical pathway for chest pain evaluation. Am J Cardiol 2001; 88: 611-7.
10. Conti A, Paladini B, Toccafondi S et al.: Effectiveness of a multidisciplinary chest pain unit for the assessment of coronary syndromes and risk stratification in the Florence area. Am Heart J 2002; 144: 630-5.
11. Torres LFP, Pavon-Jimenez R, Sanchez MR, Valderrama JC, Pardo AM: Chest pain unit: One yéar follow-up. Rev Esp Cardiol 2002; 55: 1021-7.
12. Hamm CW: Leitlinien: Akutes Koronarsyndrom (ACS), Teil 1: ACS ohne persistierende ST-Hebung. Z Kardiol 2004; 93: 72-90.
13. Buchardi C, Angstwurm M, Endres S: Diagnosespektrum in einer internistischen Notaufnahme. Internist 2001; 42: 1462-4.
14. Johansson I, Stromberg A, Swahn E: Ambulance use in patients with acute myocardial infarction. J Cardiovasc Nurs 2004; 19: 5-12.
15. Rasmussen CH, Munck A, Kragstrup J, Haghfelt T: Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission. Scand Cardiovasc J 2003: 37: 183-6.
16. van Buuren F, Horstkotte D: 21. Bericht Liber die Leistungszahlen der Herzkatheterlabore in der Bundesrepublik Deutschland. http://leitlinien.dgk.org/ images/pdf/leitlinien_volltext/2006-02_bericht21.pdf
17. Antman EM, Anbe DT, Armstrong PW et al.: ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction. Circulation 2004; 110: e82-293.
18. McNamara RL, Wang Y, Herrin J et al.: Effect of door-to-balloon time on mortality in patients with ST-segment elevation myocardial infarction. J Am Coll Cardiol 2006; 47: 2180-86.
19. Zahn R, Vogt A, Zeymer U et al.: In-hospital time to treatment of patients with acute ST elevation myocardial infarction treated with primary angioplasty: determinants and outcome. Results from the registry of percutaneous coronary interventions in acute myocardial infarction of the Arbeitsgemeinschaft Leitender Kardiologischer Krankenhausärzte. Heart 2005; 91: 1041-6.
20. Magid DJ, Wang Y, Herrin J et al.: Relationship between time of day, day of week, timeliness of reperfusion, and in-hospital mortality for patients with acute ST-segment elevation myocardial infarction. JAMA 2005; 294: 803-12.
21. Andersen HR, Nielsen TT, Rasmussen K et al.: A comparison of coronary angioplasty with fibrinolytic therapy in acute myocardial infarction. N Engl J Med 2003; 349: 733-42.
22. Bradley EH, Herrin J, Wang Y et al.: Strategies for reducing the door-to-balloon time in acute myocardial infarction. N Engl J Med 2006; 355: 2308-20.
23. Farkouh ME, Smars PA, Reeder GS et al.: A clinical trial of a chest-pain observation unit for patients with unstable angina. N Engl J Med 1998; 339: 1882-8.