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Action to take when confronted with probable acute coronary syndrome-While awaiting the arrival of the emergency medical services

机译:面对可能的急性冠状动脉综合征 - 等待紧急医疗服务的到来时采取行动

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摘要

When an acute coronary syndrome is suspected, what action should be taken after phoning for and awaiting the arrival of the emergency medical services? We reviewed the available evidence using the standard Prescrire methodology. The patient's medical history should be taken and a physical examination performed to assess the seriousness of the clinical situation, to look for any other possible causes of chest pain or collapse, and to identify situations in which the use of nitrates or thrombolysis is contraindicated. An electrocardiogram (ECG), ideally performed within 10 minutes, helps guide the emergency coronary revascularisation strategy, in particular by distinguishing ST elevation myocardial infarction (STEMI) from the other types of acute coronary syndromes. When the ECG is difficult to interpret, it is useful to forward the trace to a doctor of the emergency medical services.
机译:怀疑急性冠状动脉综合征时,应在打电话给并等待紧急医疗服务到达后采取什么行动? 我们使用标准规定方法审查了可用证据。 应采取患者的病史,并进行体检以评估临床情况的严重性,寻找胸痛或崩溃的任何其他可能的原因,并识别硝酸盐或溶栓的使用是禁忌的。 理想地在10分钟内进行的心电图(ECG)有助于引导紧急冠状动脉血管体外策略,特别是通过将ST升高心肌梗死(Stemi)与其他类型的急性冠状动脉综合征区分开。 当心电图难以解释时,将痕迹转发给紧急医疗服务的医生。

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    《Prescrire international》 |2019年第209期|共1页
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  • 正文语种 eng
  • 中图分类 药学;
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