Pre-hospital management of patients with chest pain and/or dyspnoea of cardiac origin. A position paper of the Acute Cardiovascular Care Association (ACCA) of the ESC.

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Abstract

Chest pain and acute dyspnoea are frequent causes of emergency medical services activation. The pre-hospital management of these conditions is heterogeneous across different regions of the world and Europe, as a consequence of the variety of emergency medical services and absence of specific practical guidelines. This position paper focuses on the practical aspects of the pre-hospital treatment on board and transfer of patients taken in charge by emergency medical services for chest pain and dyspnoea of suspected cardiac aetiology after the initial assessment and diagnostic work-up. The objective of the paper is to provide guidance, based on evidence, where available, or on experts' opinions, for all emergency medical services' health providers involved in the pre-hospital management of acute cardiovascular care.

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Author and article information

Journal

Journal ID (iso-abbrev): Eur Heart J Acute Cardiovasc Care

Title: European heart journal. Acute cardiovascular care

Publisher: SAGE Publications

ISSN (Electronic): 2048-8734

ISSN (Print): 2048-8726

Publication date (Electronic): Aug 27 2015

Affiliations

[1 ] Department of Cardiology, Interventional Cardiology and Cardiology Research Units, Caen University Hospital, France beygui-f@chu-caen.fr.

[2 ] Department of Emergency Medicine and Services, Helsinki University Hospital and Helsinki University, Finland; Karolinska Institutet, Department of Clinical Science and Education, Stockholm, Sweden.

[3 ] University of Foggia, Italy.

[4 ] Empresa Pública de Emergencias Sanitarias de Andalucía, Spain.

[5 ] Paracelsus Medical University, Nuremberg, Germany.

[6 ] Wir leben Medizin, Klinikum der Stadt Ludwigshafen am Rhein gGmbH, Germany.

[7 ] Third Department of Medicine, Cardiology and Emergency Medicine, Wilhelminenhospital, Vienna, Austria.

[8 ] Department of Cardiology, Copenhagen University Hospital, Gentofte, Denmark.

[9 ] Department of Medicine, Centre for Resuscitation Science, Karolinska Institutet Solna, Sweden.

[10 ] Centro Nacional de Investigaciones Cardiovasculares and Department of Cardiology, Hospital 12 de Octubre, Madrid, Spain.

[11 ] ISALA Academy, Interventional Cardiology, Zwolle, The Netherlands.

[12 ] Cardiology Department, Konstantopouleio General Hospital, Athens, Greece.

[13 ] Universitätsmedizin Berlin, Charité, Campus Virchow-Klinikum, Medizinische Klinik m.S. Intensivmedizin und Nephrologie, Berlin, Germany.

[14 ] Emergency Department, University Hospital of Rangueil, Toulouse, France.

[15 ] Department of Cardiology and Department of Medical and Health Sciences, Linköping University, Sweden.

[16 ] ICCU, Division of Cardiology, San Filippo Neri Hospital, Rome, Italy.

[17 ] SAMU and Emergency Department, Lille University Hospital, France.

Article

Publisher Item ID: 2048872615604119

DOI: 10.1177/2048872615604119

PubMed ID: 26315695

SO-VID: c563fe57-746c-4a82-b28b-a823af636d2f

History

Keywords: Pre-hospital,chest pain,dyspnoea

Data availability:

Keywords: Pre-hospital, chest pain, dyspnoea

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