Ischemic heart disease in the emergency room: state of the art, innovation and research


Submitted: 15 February 2013
Accepted: 8 March 2013
Published: 12 July 2013
Abstract Views: 1312
PDF: 1382
Cover letter: 0
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Authors

  • Giuseppe Lippi Laboratory of Clinical Chemistry and Hematology, Department of Pathology and Laboratory Medicine, Parma University Hospital, Italy.
  • Mario Cavazza Emergency Department, S. Orsola-Malpighi University Hospital, Bologna, Italy.
  • Andrea Peracino Giovanni Lorenzini Medical Science Foundation, Milano, Italy, and Houston, TX, Italy.
  • Marco Tubaro Intensive Cardiac Care Unit, Cardiovascular Department, San Filippo Neri Hospital, Roma, Italy.
  • Alexandru Nechita Cardiology Department, Sf. Pantelimon Emergency Clinical Hospital, Bucharest, Romania.
  • Paola Ballarino Emergency Department, San Martino University Hospital, Genova, Italy.
  • Frank W. Peacock Emergency Medicine Section, Baylor College of Medicine, Houston, TX, United States.
  • Salvatore Di Somma Emergency Department, Sant'Andrea Hospital, Italy.
This opinion paper is aimed to provide an overview about the state of the art, innovation and research in ischemic heart disease in the emergency room, and is a synopsis of the lectures of the 3rd Italian GREAT Network Congress (Rome, 15-19 October 2012). The leading issues of a multidisciplinary risk stratification and diagnosis of patients presenting to the emergency department with suspected ischemic heart disease will be discussed taking into consideration the variable onset of clinical signs and symptoms, the role of novel highly-sensitive troponin immunoassays, the promising use of an 80-lead electrocardiogram, echocardiography and risk stratification scores. Preliminary information will also be provided about the ongoing Italian multicentric registry on chest pain patients in emergency department, an observational prospective study aimed to collect data about patients presenting at the emergency department with typical chest pain suggesting an acute coronary syndrome.

Lippi, G., Cavazza, M., Peracino, A., Tubaro, M., Nechita, A., Ballarino, P., Peacock, F. W., & Di Somma, S. (2013). Ischemic heart disease in the emergency room: state of the art, innovation and research. Emergency Care Journal, 9(1), e7. https://doi.org/10.4081/ecj.2013.e7

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