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Dtsch Med Wochenschr 2019; 144(17): 1223-1228
DOI: 10.1055/a-0741-0917
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© Georg Thieme Verlag KG Stuttgart · New York

Was tun bei akutem Thoraxschmerz?

Acute Chest Pain: A Stepwise Approach To Diagnosis
Bernhard Haring
,
Alexander Schmidt
,
Stefan Frantz
Further Information

Publication History

Publication Date:
27 August 2019 (online)

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Abstract

Acute chest pain is one of the most important cardinal symptoms in medicine. There are several important differential diagnoses for chest pain. Therefore, a thorough history and physical examination, as well as the 12-lead ECG and laboratory tests are crucial. In clinical practice, it is useful to distinguish between cardiac chest pain and other forms of chest pain in order to treat patients appropriately and to exclude potentially life-threatening conditions.

Der akute Thoraxschmerz gehört zu den wichtigsten internistischen Leitsymptomen. Anamnese, Inspektion, körperliche Untersuchung, Basisdiagnostik mittels 12-Kanal-EKG und Laborchemie sind essenziell, um die vielfältigen möglichen Ursachen abzuklären. Bildgebung, verschiedene Scores und die Einteilung in kardiale und nicht kardiale Verdachtsdiagnosen helfen, unmittelbar lebensbedrohliche Krankheitsbilder schnell und sicher zu identifizieren.

Schlüsselwörter

akuter Brustschmerz - Diagnose - Myokardinfarkt - Lungenembolie - akutes Aortensyndrom

Key words

acute chest pain - diagnosis - myocardial infarction - pulmonary embolism - acute aortic syndrom
 

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