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Der akute Thoraxschmerz

Acute chest pain

  • Schwerpunkt: Internistische Notfallmedizin
  • Published:
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Zusammenfasssung

Akuter Thoraxschmerz ist die Hauptursache stationärer Aufnahmen weltweit und verbraucht beträchtliche finanzielle und Krankenhaus-Ressourcen für Diagnose und Versorgung. Nach wie vor ist ein nicht diagnostizierter akuter Myokardinfarkt mit einem ungünstigen Verlauf verbunden und stellt einen der häufigsten Anlässe für einen Rechtsstreit in den Vereinigten Staaten dar. Der vorliegende Beitrag gibt eine Zusammenfassung der Kennzeichen des kardialen und nichtkardialen Thoraxschmerzes, bietet einen Überblick über diagnostische Algorithmen und erläutert die wichtigen Differenzialdiagnosen.

Abstract

Acute chest pain is the leading cause of hospital admissions worldwide and absorbs extensive financial and hospital resources for diagnosis and management. A missed diagnosis of acute myocardial infarction is still associated with a poor outcome and represents one of the most common reasons for lawsuits in the USA. The present article gives a summary on the features of cardiac and non-cardiac chest pain, provides an overview of diagnostic algorithms, and points out the important differential diagnoses.

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Authors and Affiliations

  1. Abteilung Innere Medizin III, Medizinische Klinik der Universität Heidelberg

    K. Kurz, H. A. Katus &  E. Giannitsis

  2. Abteilung Innere Medizin III, Medizinische Klinik des Universitätsklinikum, Im Neuenheimer Feld 410, 69120, Heidelberg

    E. Giannitsis

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  1. K. Kurz
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  2. H. A. Katus
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  3. E. Giannitsis
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Correspondence to E. Giannitsis.

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Kurz, K., Katus, H.A. & Giannitsis, E. Der akute Thoraxschmerz. Internist 46, 957–964 (2005). https://doi.org/10.1007/s00108-005-1456-z

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  • DOI: https://doi.org/10.1007/s00108-005-1456-z

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