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New categorization of chest pain: noncardiac is in, atypical is out!

Chest pain poses a diagnostic challenge in the emergency department and requires a thorough clinical assessment. The traditional distinction between “atypical” and “typical” chest pain carries the risk of not addressing nonischemic clinical pictures. The newly conceived subdivision into cardiac, pos...

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Bibliographic Details
Main Authors: Settelmeier, Stephan (Author) , Steven, Sebastian (Author) , Post, Felix (Author) , Ahrens, Ingo (Author) , Giannitsis, Evangelos (Author) , Breuckmann, Frank (Author)
Corporate Author: Deutsche Gesellschaft für Kardiologie - Herz- und Kreislaufforschung (Author)
Format: Article (Journal)
Language:English
German
Published: 1 March 2024
In: Herz
Year: 2024, Volume: 49, Issue: 3, Pages: 181-184
ISSN:1615-6692
DOI:10.1007/s00059-024-05240-7
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s00059-024-05240-7
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Author Notes:Stephan Settelmeier, Sebastian Steven, Felix Post, Ingo Ahrens, Evangelos Giannitsis, Frank Breuckmann on behalf of Arbeitsgruppe Akuter Thoraxschmerz (AG 44) der Deutschen Gesellschaft für Kardiologie - Herz- und Kreislaufforschung e. V. (DGK)
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Summary:Chest pain poses a diagnostic challenge in the emergency department and requires a thorough clinical assessment. The traditional distinction between “atypical” and “typical” chest pain carries the risk of not addressing nonischemic clinical pictures. The newly conceived subdivision into cardiac, possibly cardiac, and (probably) noncardiac causes of the presenting symptom complex addresses a much more interdisciplinary approach to a symptom-oriented diagnostic algorithm. The diagnostic structures of the chest pain units in Germany do not currently reflect this. An adaptation should therefore be considered.
Item Description:Gesehen am 27.02.2025
Physical Description:Online Resource
ISSN:1615-6692
DOI:10.1007/s00059-024-05240-7

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