Akuter Thoraxschmerz

Zusammenfassung

Das quantitative Problem des Symptoms „Akuter Thoraxschmerz” besteht einerseits im großen Patientengut und andererseits in der großen Bandbreite von möglichen Ursachen. Beim Management des konkreten individuellen Patienten kommt es daher darauf an, mögliche lebensbedrohende Ursachen rasch herauszukristallisieren und einer adäquaten Behandlung zuzuführen (qualitatives Problem). Im Fokus dieses Beitrages stehen deshalb Krankheitsbilder, die einen dramatischen und prognostisch ungünstigen Verlauf nehmen können.

Abstract

The quantitative problem of the symptom „acute chest pain” relates to the large number of patients on the one hand and to the amount of underlying causes on the other hand. It is very important in the management of patients with chest pain or discomfort to quickly identify high risk patients with a life-threatening disorder and to initiate adequate emergency therapy as soon as possible (qualitative problem). Patients suffering from other less serious disorders associated with chest pain, can be managed without high priority. Therefore syndromes and diseases with potential poor prognosis are in the focus of this paper.

Schlüsselwörter

Brustschmerz - Risikostratifizierung - akutes Koronarsyndrom - akute Lungenembolie - Aortendissektion

Keywords

chest pain - risk stratification - acute coronary syndrome - acute pulmonary embolism - aortic dissection

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