最近审阅: 27 十月 2020
最近更新: 20 九月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 胸痛
  • 呼吸困难
  • 苍白
  • 发汗
  • 心源性休克

其他诊断因素

  • 恶心和/或呕吐
  • 头晕或头重脚轻感
  • 虚弱
  • 痛苦
  • 心动过速
  • 额外心音
  • 不典型部位或性质的疼痛
  • 意识模糊
  • 低血压
  • 呼吸音异常

危险因素

  • 吸烟
  • 高血压
  • 糖尿病
  • 肥胖
  • 代谢综合征
  • 缺乏体力活动
  • 血脂异常
  • 肾功能不全
  • 已确诊冠状动脉病变
  • 早发冠状动脉病变家族史
  • 吸食可卡因
  • 男性
  • 高龄

诊断性检查

首要检查

  • 心电图(ECG)
  • 心脏生物标志物
  • 葡萄糖
  • 电解质、尿素和肌酐
  • 血脂
  • 胸部 X 线检查(CXR)
  • 冠状动脉造影
更多 首要检查

治疗流程

撰稿人

Mahi L. Ashwath

Director, Cardiac MRI

Clinical Associate Professor of Medicine and Radiology

Division of Cardiology

Department of Internal Medicine

University of Iowa Hospitals and Clinics

University of Iowa Health Care

Iowa

IA

利益声明

MLA declares that she has no competing interests.

Director, Endovascular Cardiology

Associate Professor of Medicine, Endovascular Cardiology

Case Western Reserve University

Cleveland

OH

利益声明

SG declares that he has no competing interests.

Dr Mahi L. Ashwath and Dr Sanjay Gandhi would like to gratefully acknowledge Dr Thomas Vrobel, a previous contributor to this topic. TV declares that he has no competing interests.

同行评议者展开全部内容

Vice Chairman of Medicine for Network Development and Strategic Planning

Brigham and Women's Hospital

Boston

MA

利益声明

DA declares that he has no competing interests.

Associate Professor of Medicine

Department of Cardiovascular Medicine

Cleveland Clinic

OH

利益声明

DLB declares that he has no competing interests.

Consultant Cardiologist and Professor of Cardiovascular Medicine

University Department of Medicine

City Hospital

Birmingham

UK

利益声明

GL declares that he has no competing interests.

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