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Douleur thoracique et syndromes coronariens aigus : stratégie diagnostique

Chest pain and acute coronary syndrome: diagnosis strategy

  • Mise Au Point / Update
  • Published:
Annales françaises de médecine d'urgence

Résumé

La prise en charge des syndromes coronaires aigus (SCA) avec ou sans sus-décalage du segment ST a beaucoup évolué ces dernières années. L’incidence de cette pathologie est peu élevée en médecine d’urgence, mais son diagnostic est un véritable challenge pour le clinicien compte tenu de sa mortalité élevée. La démarche diagnostique est donc fondamentale en médecine d’urgence. Une évaluation du risque pronostique ischémique et hémorragique permet d’adapter les traitements et de proposer une orientation vers les services adaptés.

Abstract

The management of acute coronary syndrome with or without ST segment elevation has progressed in recent years. The incidence of this pathology is low in emergency medicine, but its diagnosis is a challenge for clinicians considering the high mortality of these patients. The diagnostic approach is essential in emergency medicine. Stratification of ischemic and bleeding risk allows us to adapt treatment and orientation.

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Authors and Affiliations

  1. Pôle de médecine d’urgences, CHU Purpan, F-31059, Toulouse, France

    S. Charpentier

  2. Inserm équipe 5, unité 1027, université Paul-Sabatier, Merci de fournir le code postal Toulouse, Toulouse, France

    D. Lauque

Authors
  1. S. Charpentier
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  2. D. Lauque
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Correspondence to S. Charpentier.

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Charpentier, S., Lauque, D. Douleur thoracique et syndromes coronariens aigus : stratégie diagnostique. Ann. Fr. Med. Urgence 1 (2011). https://doi.org/10.1007/s13341-011-0095-3

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  • DOI: https://doi.org/10.1007/s13341-011-0095-3

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