Vai trò mới nổi của MSCT cho người bệnh đau thắt ngực cấp

MEDIC Emerging Roles of MSCT for Patient with Acute Chest Pain Bs CK II Nguyễn Xuân Trình Bs Phan Thanh Hải Department of Cardiology MEDIC Medical Center Acute Chest Pain(ACP) And the ED MEDIC • • • • • • • 5–10% STEMI 15–20% NSTEMI 10% unstable angina 15% other cardiac conditions 50% non-cardiac diseases Several cardiac and non-cardiac conditions may mimic NSTE-ACS Differential diagnosis of NSTE-ACS: • Aortic dissection, • Pulmonary embolism 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation Acute Coronary Syndrome and the ED MEDIC • 8-10 million ED chest pain presentations/ yr in US • 85-95% have a final diagnosis other than MI or UA • Unnecessary admissions (60-80%) and testing to exclude ACS • But, big downside for missed diagnosis (up to 5%) • General agreement in USA,