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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 4/2018

30.05.2018 | CME

Akutes Koronarsyndrom beim älteren Menschen

verfasst von: Dr. med. D. Eckner, S. Popp, S. Wicklein, M. Pauschinger

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 4/2018

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Zusammenfassung

Das akute Koronarsyndrom (ACS) – gegliedert in „ST-elevation myocardial infarction“ (STEMI), „non-ST-segment elevation acute coronary syndrome“ (NSTE-ACS) und instabile Angina pectoris – stellt besonders beim älteren Menschen eine besondere Herausforderung in Bezug auf Diagnostik und Therapie dar. Begonnen mit der ggf. schwierigen Anamnese über die laborchemischen Befunde bis hin zu Besonderheiten in EKG, Echokardio- und Angiographie sollten diese Patienten different zu Jüngeren betrachtet werden. Aufgrund der besonders im hohen Alter bestehenden Mortalität und Morbidität nach ACS gilt es, evidente Strategien in Diagnostik und Therapie einzuhalten und speziell geschultes Personal für Menschen mit akutem Brustschmerz einzusetzen, um Prognose und Lebensqualität der Betroffenen zu bessern. Der erste wichtige Schritt sind zertifizierte „chest pain units“, die die reibungslose Diagnostik und Therapie sicherstellen und die innerklinischen Entscheidungsprozesse positiv beeinflussen.
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Metadaten
Titel
Akutes Koronarsyndrom beim älteren Menschen
verfasst von
Dr. med. D. Eckner
S. Popp
S. Wicklein
M. Pauschinger
Publikationsdatum
30.05.2018
Verlag
Springer Medizin
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 4/2018
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-018-1411-y

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