ArticleClinical research in cardiology : official journal of the German Cardiac Society2012
Pre- and early in-hospital procedures in patients with acute coronary syndromes: first results of the "German chest pain unit registry".
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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19 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Criteria of the German Society of Cardiology for the establishment of chest pain units: update 2014.Clinical research in cardiology : official journal of the German Cardiac Society · 2015Guideline
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- A patient with a rare cause of elevated troponin I.Clinical research in cardiology : official journal of the German Cardiac Society · 2015Article
- [Chest pain units or chest pain algorithm?].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2014Review
- Uncommon cause of ST-segment elevation in V1-V3: incremental value of cardiac magnetic resonance imaging.Clinical research in cardiology : official journal of the German Cardiac Society · 2014Article
- Short-term outcome of patients with ST-segment elevation myocardial infarction (STEMI) treated with an everolimus-eluting bioresorbable vascular scaffold.Clinical research in cardiology : official journal of the German Cardiac Society · 2014Observational
- Reported underuse of risk scores in patients with acute coronary syndromes without persistent ST elevations in clinical practice: results of a survey of the ALKK study group.Clinical research in cardiology : official journal of the German Cardiac Society · 2014Article
- Efficacy and limitations of a STEMI network: 3 years of experience within the myocardial infarction network of the region of Augsburg - HERA.Clinical research in cardiology : official journal of the German Cardiac Society · 2013Article
- The antiarrhythmic dipeptide ZP1609 (danegaptide) when given at reperfusion reduces myocardial infarct size in pigs.Naunyn-Schmiedeberg's archives of pharmacology · 2013Article
- The predictive value of the exercise ECG for major adverse cardiac events in patients who presented with chest pain in the emergency department.Clinical research in cardiology : official journal of the German Cardiac Society · 2013Article
- Evaluation of a novel portable capacitive ECG system in the clinical practice for a fast and simple ECG assessment in patients presenting with chest pain: FIDET (Fast Infarction Diagnosis ECG Trial).Clinical research in cardiology : official journal of the German Cardiac Society · 2013Article
- Anti-glioma action of aloe emodin: the role of ERK inhibition.Cellular and molecular life sciences : CMLS · 2005Article
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16 authors at 14 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn an attempt to improve the treatment of patients with acute coronary syndromes (ACS), a network of certified chest pain units (CPUs) has been recently established in Germany.
methodsData from patients admitted between December 2008 and September 2011 for ACS in 40 certified CPUs participating in the registry were prospectively collected.
resultsA total of 5,457 patients was admitted for ACS; 798 patients (14.6 %) were diagnosed with an ST-elevation myocardial infarction (STEMI), 2,244 (41.1 %) with a non-ST-elevation myocardial infarction (NSTEMI), and 2,415 (44.3 %) with unstable angina. The mean time to first medical contact was 2:08 h for STEMI patients. A pre-hospital ECG was available in 23.8 % of all ACS patients. Importantly, evidence of ST-segment elevation was present in 79.7 % of the STEMI patients already in this pre-hospital ECG. As many as 76.6 % of the patients, independently of their symptoms and final diagnosis, received an ECG within 10 min of reaching the CPU. 98.2 % of STEMI patients underwent invasive diagnostics, with an in-hospital delay as little as 31 (11-75) min.
conclusionThe establishment of a nation-wide network of certified CPUs optimizes the medical treatment of patients with ACS while providing an ideal infrastructure to evaluate and improve, both on a nation-wide and a single center scale, the adherence to guidelines. The median delay between symptom onset and first medical contact remains high. Although performed relatively rarely, a pre-hospital ECG facilitates earlier diagnosis of a STEMI in a large majority of patients. The introduction of CPUs minimizes in-hospital delays and exploits the benefit of invasive diagnostics and treatment.
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