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Management of Acute Chest Pain in Older Patients

  • Tim Arnold
  • Ursula Müller-Werdan
  • Martin Möckel
Chapter

Abstract

Chest pain is the most frequent leading symptom in the emergency department and challenges the team, because it has many differential diagnoses. Furthermore, a significant proportion of patients presenting in the emergency department with chest pain are older patients accounting for further challenges in finding the right diagnosis: older patients often present with atypical symptoms, suffer from multimorbidity, some have limitations of memory and need polypharmacy. After finding a suspected diagnosis, the initiation of the best therapy needs to take into account the general health, comorbidities, cognitive status, and life expectancy, as well as age-related altered pharmacokinetics and possible adverse effects of these therapies.

Keywords

Chest pain Older patient Acute coronary syndromes Emergency department 

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Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  • Tim Arnold
    • 1
  • Ursula Müller-Werdan
    • 2
  • Martin Möckel
    • 1
    • 3
  1. 1.Division of Emergency and Acute MedicineCampus Virchow-Klinikum and Campus Mitte; Charité – Universitätsmedizin BerlinBerlinGermany
  2. 2.Department of Geriatric MedicineCampus Benjamin Franklin, Charité – Universitätsmedizin BerlinBerlinGermany
  3. 3.Department of CardiologyCampus Virchow-Klinikum and Campus Mitte; Charité – Universitätsmedizin BerlinBerlinGermany

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