DMW - Deutsche Medizinische Wochenschrift, Inhaltsverzeichnis Dtsch Med Wochenschr 2012; 137(28/29): 1468-1473DOI: 10.1055/s-0032-1305089 Aktuelle Diagnostik & Therapie | Review article Intensivmedizin, Notfallmedizin © Georg Thieme Verlag KG Stuttgart · New York Die ersten 24 Stunden – der akute Thoraxschmerz The first 24 hours – acute chest pain S. Baumanns 1 Klinik für Kardiologie – Innere Medizin II, Kliniken Mariahilf GmbH, Mönchengladbach , J. vom Dahl 1 Klinik für Kardiologie – Innere Medizin II, Kliniken Mariahilf GmbH, Mönchengladbach › Institutsangaben Artikel empfehlen Abstract Schlüsselwörter Schlüsselwörterakuter Thoraxschmerz - akutes Koronarsyndrom - akutes Aortensyndrom - Lungenembolie - Pneumothorax - Brustschmerzambulanz - kardiogener Schock Keywords Keywordsacute chest pain - acute coronary syndrome - acute aortic syndrome - pulmonary embolism - pneumothorax - chest pain unit - cardiogenic shock Volltext Referenzen Literatur 1 Antithrombotic Trialists' (ATT) Collaboration. Aspirin in the primary and secondary prevention of vascular disease: collaborative meta-analysis of individual participants from randomized trials. Lancet 2009; 373: 1849-1860 2 Banks PA et al. Practice guidelines in acute pancreatitis. Am J Gastroenterol 2006; 101: 2379-2400 3 Baumann MH, Strange C, Heffner JE et al. Management of Spontaneous Pneumothorax: An American College of Chest Physicians Delphi Consensus Statement. Chest 2001; 119: 590-602 4 Bösner S et al. AWMF-Leitlinie „Brustschmerz“ der DEGAM. DEGAM-Leitlinie Nr. 15. 2011: AMWF-Register Nr. 053/023 5 Fruergaard DP, Launbjerg J, Hesse B et al. The diagnosis of patients admitted with acute chest pain but without myocardial infarction. Eur Heart J 1996; 17: 1028-34 6 Hamm CW et al. ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J 2011; 32: 2999-3054 7 Höffken G, Lorenz J, Kern W et al. Epidemiologie, antimikrobielle Therapie und Management von erwachsenen Patienten mit ambulant erworbenen unteren Atemwegsinfektionen sowie ambulant erworbener Pneumonie. Pneumologie 2009; 63: e61-68 8 Huffmann JC, Pollack MH. Predicting panic disorder among patients with chest pain: an analysis of the literature. Psychosomatics 2003; 44: 222-236 9 Karnath B, Holden MD, Hussain N. Chest pain: Differentiating cardiac from noncardiac causes. Hosp Physician 2004; 40: 24-38 10 Kodolitsch Y. Clinical prediction of acute aortic dissection. Arch Int Med 2000; 160: 2977-2982 11 Konstantinides S, Janssens U, Mayer E et al. Kommentar zu den ESC-Leitlinien „Guidelines on diagnosis and management of acute pulmonary embolism“. Kardiologe 2009; 3: 272-282 12 Koop H, Schepp W, Müller-Lissner S et al. Gastroösophageale Refluxkrankheit – Ergebnisse einer evidenzbasierten Konsensuskonferenz der Deutschen Gesellschaft für Verdauungs- und Stoffwechselkrankheiten. Z Gastroenterologie 2005; 43: 163-194 13 Korn O, Onate JC, Lopez R. Anatomy of the Boerhaave syndrome. Surgery 2007; 141: 222-228 14 Miniati M, Prediletto R, Formichi B et al. Accuracy of clinical assesment in the diagnosis of pulmonary embolism. Am J Respir Crit Care Med 1999; 159: 864-871 15 Montalescot G, Sideris G, Meulemann C et al. A randomised comparison of high dose clopidogrel loading doses in patients with non-ST-segment elevation acute coronary syndromes. J Am Coll Cardiol 2006; 48: 931-938 16 Perings S, Smetak N, Block M et al. Konsensuspapier der Task Force „Brustschmerz-Ambulanz“ der Deutschen Gesellschaft für Kardiologie – Herz- und Kreislaufforschung. Kardiologe 2010; 4: 208-213 17 Perrier A, Roy PM, Aujesky D et al. Diagnosing pulmonary embolism in outpatients with clinical assessment, D-Dimer measurement, venous ultrasound and helical computes tomography: a multicenter management study. Am J Med 2004; 116: 291-299 18 Post F, Genth-Zotz S, Münzel T. Aktueller Stellenwert einer Chest Pain Unit in Deutschland. Herz 2007; 5: 435-437 19 de Schipper JP, Pull ter Gunne AF, Oostvogel HJM et al. Spontaneous rupture of the oesophagus: Boerhaave´s syndrome in 2008. Dig Surg 2009; 26: 1-6 20 Slater EE, DeSanctis RW. The clinical recognition of dissecting aortic aneurysm. Am J Med 1976; 60: 625-631 21 Stein PD, Henry JW. Clinical characteristics of patients with acute pulmonary embolism stratified according to their presenting syndromes. Chest 1997; 112: 974-979 22 Torbick A, Perrier A, Konstantinides S et al. Guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 2008; 29: 2276-2315 23 Thygesen K et al. Universal definition of myocardial infarction. Eur Heart J 2007; 28: 2525-2538 24 Wallentin L, Becker RC, Budaj A et al. Ticagrelor versus clopidogrel in patients with acute coronary syndromes. N Engl J Med 2009; 361: 1045-1057 25 Wells PS, Anderson DR, Rodger M et al. Derivation of a simple clinical model to categorize patients probability of pulmonary embolism. Thromb Haemost 2000; 83: 416-420 26 Werdan K, Ruß M, Buerke M et al. Deutsch-österreichische S3-Leitlinie „Infarktbedingter kardiogener Schock – Diagnose, Monitoring und Therapie“. Kardiologe 2011; 5: 166-224 27 Wiviott SD, Braunwald E, McCabe CH et al. Prasugrel versus clopidogrel in patients with acute coronary syndromes. N Engl J Med 2007; 357; 2001-2015