BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在危险因素
  • 胸痛
  • 发汗
  • 近期经皮冠状动脉介入治疗或既往冠状动脉旁路移植术
全部具体信息

其他诊断因素

  • 强体力活动
  • 呼吸困难
  • 无力
  • 焦虑
全部具体信息

危险因素

  • 动脉粥样硬化（心绞痛、心肌梗死、卒中、短暂性脑缺血发作、周围性血管疾病病史）
  • 糖尿病
  • 吸烟
  • 血脂异常
全部具体信息

诊断性检查

首要检查

  • 心电图（ECG）
  • 舌下含服硝酸甘油试验
  • 心脏肌钙蛋白
  • 肌酸激酶 (CK)
全部具体信息

需要考虑的检查

  • 脂质
  • B型利钠肽（BNP）或N末端B型利钠肽原(NT-pro-BNP)
  • 超声心电图检查
  • 血管造影术
全部具体信息

治疗流程

急性

急性表现

疾病持续状态

稳定后

贡献者

作者 查看所有

Associate Professor of Medicine

Director of Research, Cardiac Catheterization Laboratory

Director, Cardiovascular Outcomes Group Department of Medicine

New York University School of Medicine

NY

利益冲突披露
SB declares that he has no competing interests.

Fellow

Division of Cardiology

New York University School of Medicine

NY

利益冲突披露
MO declares that she has no competing interests.

Dr Sripal Bangalore and Dr Mina Owlia would like to gratefully acknowledge Dr Thomas Vanhecke and Dr Dena Krishnan, the previous contributors to this monograph. TEV and DK declare that they have no competing interests.

同行评议专家 查看所有

Associate Professor

Department of Emergency Medicine

Beth Israel Medical Deaconess Center

Boston

MA

利益冲突披露
EU declares that he has no competing interests.

Associate Professor of Medicine

Department of Cardiovascular Medicine

Cleveland Clinic

OH

利益冲突披露
DLB declares that he has no competing interests.

Consultant Cardiologist

East Surrey Hospital

Surrey and Sussex NHS Trust

Surrey

UK

利益冲突披露
SB declares that she has no competing interests.

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