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当因急性胸痛住进急诊室的患者被怀疑胸痛是由心肌缺血引起时通常会被送进冠心病监护病房,然而其中仅有约30％的病人获得急性心肌梗塞(AMI)的诊断;另一方面又有4～8％的急性胸痛患者会因病史和心电图证据不足被急诊室医生认为危险性小而错误地让他们出院回家,使得这一部分病人与住院患者相比,发生心脏疾病尤其是猝死的危险性增加,所以在当今这个注重经济效益的时代,对于诊断未搞清的患者尽早地适当地确定他们所患疾病的性质是十分重要的。
When patients admitted to the emergency room due to acute chest pain are suspected of having chest pain caused by myocardial ischemia, they are usually admitted to the coronary care unit, yet only about 30% of them have a diagnosis of acute myocardial infarction (AMI). On the other hand, another 4 to 8% of patients with acute chest pain will be discharged by the emergency room doctors due to their small medical history and insufficient ECG evidence. Therefore, this part of patients may have heart disease especially when compared with hospitalized patients Is an increased risk of sudden death, so in today’s economy-focused age, it is important to properly determine the nature of the illness they are afflicted in patients who have not yet been identified.