Pre- and early in-hospital procedures in patients with acute coronary syndromes: first results of the German chest pain unit registry
Clinical Research in Cardiology,

Post F et al. – The establishment of a nation–wide network of certified chest pain units (CPUs) optimizes the medical treatment of patients with acute coronary syndromes (ACS) while providing an ideal infrastructure to evaluate and improve, both on a nation–wide and a single center scale, the adherence to guidelines. The median delay between symptom onset and first medical contact remains high. Although performed relatively rarely, a pre–hospital ECG facilitates earlier diagnosis of a STEMI in a large majority of patients. The introduction of CPUs minimizes in–hospital delays and exploits the benefit of invasive diagnostics and treatment.

Methods
  • Data from patients admitted between December 2008 and September 2011 for ACS in 40 certified CPUs participating in the registry were prospectively collected.

Results
  • A total of 5,457 patients was admitted for ACS; 798 patients (14.6 %) were diagnosed with an ST–elevation myocardial infarction (STEMI), 2,244 (41.1 %) with a non–ST–elevation myocardial infarction (NSTEMI), and 2,415 (44.3 %) with unstable angina. The mean time to first medical contact was 2:08 h for STEMI patients.
  • A pre–hospital ECG was available in 23.8 % of all ACS patients.
  • Importantly, evidence of ST–segment elevation was present in 79.7 % of the STEMI patients already in this pre–hospital ECG.
  • As many as 76.6 % of the patients, independently of their symptoms and final diagnosis, received an ECG within 10 min of reaching the CPU. 98.2 % of STEMI patients underwent invasive diagnostics, with an in–hospital delay as little as 31 (11–75) min.

Please login or register to follow this author.
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Medical Student

See All >> Messages include industry-sponsored communications and special communications from MDLinx

<

Most Popular Medical Student Articles

1 Midlife dietary vitamin D intake and subsequent performance in different cognitive domains Annals of Nutrition and Metabolism, September 16, 2014    Clinical Article

2 Association between sugar-sweetened beverages and type 2 diabetes: a meta-analysis Journal of Diabetes Investigation, November 13, 2014    Evidence Based Medicine    Review Article

3 Boiled coffee consumption and the risk of prostate cancer: follow-up of 224,234 Norwegian men 20-69 years British Journal of Cancer, December 24, 2014    Clinical Article

4 Dietary fatty acids and risk of coronary heart disease in men: The Kuopio ischemic heart disease risk factor study Arteriosclerosis, Thrombosis, and Vascular Biology, December 4, 2014    Evidence Based Medicine    Clinical Article

5 Total, caffeinated and decaffeinated coffee and tea intake and gastric cancer risk: Results from the EPIC cohort study International Journal of Cancer, October 3, 2014    Clinical Article

6 Benefits of probiotics on enteral nutrition in preterm neonates: a systematic review American Journal of Clinical Nutrition, November 7, 2014    Evidence Based Medicine    Review Article    Clinical Article

7 Pathology residency training: time for a new paradigm Human Pathology, March 25, 2014    Clinical Article

8 High protein weight loss diets in obese subjects with type 2 diabetes mellitus Nutrition, Metabolism & Cardiovascular Diseases, January 3, 2014    Clinical Article

9 The effect of bupropion XL and escitalopram on memory and functional outcomes in adults with major depressive disorder: Results from a randomized controlled trial Psychiatry Research, November 3, 2014    Clinical Article

10 Chocolate consumption and risk of diabetes mellitus in the Physicians’ Health Study American Journal of Clinical Nutrition, December 10, 2014    Review Article

11 Possible association between vitamin D deficiency and restless legs syndrome Full Text Neuropsychiatric Disease and Treatment, June 6, 2014    Free full text    Clinical Article

12 Regular fish consumption and age-related brain gray matter loss American Journal of Preventive Medicine, August 15, 2014    Clinical Article

13 Effects of regular consumption of different forms of almonds and hazelnuts on acceptance and blood lipids European Journal of Nutrition, December 12, 2014    Clinical Article

14 Vitamin D status in anorexia nervosa: A meta-analysis International Journal of Eating Disorders, December 5, 2014    Evidence Based Medicine

15 How World War 1 changed global attitudes to war and infectious diseases The Lancet, November 10, 2014    Evidence Based Medicine    Clinical Article

16 Radiographic evaluation of nasal septal deviation from computed tomography correlates poorly with physical exam findings International Forum of Allergy & Rhinology, November 24, 2014    Clinical Article

17 Vitamin and multiple-vitamin supplement intake and incidence of colorectal cancer: a meta-analysis of cohort studies Medical Oncology, December 24, 2014    Clinical Article
Exclusive Author Commentary

18 Rice consumption and risk of cardiovascular disease: Results from a pooled analysis of 3 U.S. cohorts American Journal of Clinical Nutrition, December 2, 2014    Clinical Article

19 Phase II trial of the anti-CD19 bispecific T cell–engager blinatumomab shows hematologic and molecular remissions in patients with relapsed or refractory B-precursor acute lymphoblastic leukemia Journal of Clinical Oncology, November 14, 2014    Clinical Article

20 Aerobic exercise training facilitates the effectiveness of cognitive behavioral therapy in panic disorder Depression and Anxiety, December 24, 2014    Clinical Article

Indexed Journals in Medical Student: Academic Medicine, BMC Medical Education, Medical Teachermore

Make smarter career moves with less time.

Sign up for our free job placement service today and have a dedicated career consultant help locate the right physician job for you!
Click Here for more information.

Get Started Now!

Free-of-charge, no obligation.

Terms and Conditions For M3 Career Consult

By registering with the M3 Career Consult service you authorize M3 USA Corporation to represent you in your job search. The following is a summary of the terms of our service and our mutual obligations to help you find a job:

  • You designate M3 to act as your agent and represent you in your job search;
  • You will not pay us for this service
  • You will advise us of any companies or positions to which you apply or have applied;
  • You will advise us if you believe you are not capable of performing a position for which we submit you, or for which you interview;
  • You will keep all information we provide you about companies or positions strictly confidential;
  • You will promptly provide us with information we request of you;
  • You will make yourself reasonably available for phone, video and in-person conversations and interviews;
  • You will be truthful in all of your communications with us; and
  • You will advise us if anything above changes.
 

The Top Read Articles of 2014 are Now Available

Scouring thousands of peer-reviewed journals and popular press, Our Editors just released the Top Read Articles of the Year. See the Top Read List