지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Objective: This study examined the efficacy of trans-thoracic echocardiography (TTE) performed by emergency physicians in the diagnosis and treatment of acute myocardial infarction (MI) in patients with suspected acute coronary syndrome (ACS). Methods: This study enrolled patients with suspected symptoms of ACS from January 1, 2017, to June 30, 2017, in the emergency department (ED). One hundred and eighteen patients, who underwent TTE (TTE group), and 384 patients, who did not undergo TTE (control group), were enrolled in this study. The rate of performed coronary angiography (CAG) and percutaneous coronary intervention (PCI) were analyzed in the TTE group. The primary outcomes included the rate of CAG and PCI performed and door-to-puncture time (DTPT). Results: The rates of CAG and PCI were significantly higher in the TTE group than in the control group (CAG: 38% vs. 28%, P=0.039; PCI: 31% vs. 21%, P=0.034). The mean DTPT in non-ST segment elevation was 110 minutes (110.2± 38.86 minutes) in the TTE group and 151 min (151.3±108.01 minutes) in the control group (P=0.054). Conclusion: Patients with suspected ACS in ED with TTE had a higher rate of CAG and PCI performed compared to the patients without TTE. In patients with non-ST segment elevation in the initial electrocardiogram, TTE performed by emergency physicians tended to shorten the time to diagnose MI and DTPT.
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등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
O’Connor RE / 2010 / Part 10 : acute coronary syndromes : 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care / Circulation 122(18 Suppl 3):S787~S817
Fuster V / 1992 / The pathogenesis of coronary artery disease and the acute coronary syndromes(1) / N Engl J Med 326:242~250
Karlson BW / 1991 / Early prediction of acute myocardial infarction from clinical history, examination and electrocardiogram in the emergency room / Am J Cardiol 68:171~175
Giannitsis E / 2000 / Relationship of cardiac troponin T and procoagulant activity in unstable angina / Thromb Haemost 83:224~228
Peels CH / 1990 / Usefulness of two-dimensional echocardiography for immediate detection of myocardial ischemia in the emergency room / Am J Cardiol 65:687~691
Fuster V / 1992 / The pathogenesis of coronary artery disease and the acute coronary syndromes(1) / N Engl J Med 326:242~250
Karlson BW / 1991 / Early prediction of acute myocardial infarction from clinical history, examination and electrocardiogram in the emergency room / Am J Cardiol 68:171~175
Giannitsis E / 2000 / Relationship of cardiac troponin T and procoagulant activity in unstable angina / Thromb Haemost 83:224~228
Peels CH / 1990 / Usefulness of two-dimensional echocardiography for immediate detection of myocardial ischemia in the emergency room / Am J Cardiol 65:687~691
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