The new ESC acute coronary syndrome guideline and its impact in the CPU and emergency department setting
Herz. 2024 Mar 11. doi: 10.1007/s00059-024-05241-6. Online ahead of print.ABSTRACTThe new guideline on acute coronary syndrome (ACS) of the European Society of Cardiology (ESC) replaces two separate guidelines on ST-elevation myocardial infarction (STEMI) and non-ST-elevation (NSTE) ACS. This change of paradigm reflects the experts view that the ACS is a continuum, starting with unstable angina and ending in cardiogenic shock or cardiac arrest due to severe myocardial ischemia. Secondary, partly non-atherosclerotic-caused myocardial infarctions ("type 2") are not integrated in this concept.With respect to acute care in the...
Source: Herz - March 12, 2024 Category: Cardiology Authors: Martin M öckel Source Type: research

Digitalization and clinical decision tools
Herz. 2024 Mar 7. doi: 10.1007/s00059-024-05242-5. Online ahead of print.ABSTRACTDigitalization in cardiovascular emergencies is rapidly evolving, analogous to the development in medicine, driven by the increasingly broader availability of digital structures and improved networks, electronic health records and the interconnectivity of systems. The potential use of digital health in patients with acute chest pain starts even in the prehospital phase with the transmission of a digital electrocardiogram (ECG) as well as telemedical support and digital emergency management, which facilitate optimization of the rescue pathways ...
Source: Herz - March 7, 2024 Category: Cardiology Authors: C Reich N Frey E Giannitsis Source Type: research

Acute prevention of a  heart attack : Early identification of prodromal symptoms as the Rosetta Stone in decoding the heart attack problem
Herz. 2024 Mar 6. doi: 10.1007/s00059-024-05239-0. Online ahead of print.ABSTRACTChest discomfort before severe chest pain represents a marker of clinical ischemia and indicates live myocardium in jeopardy and often precedes cardiac arrest or acute myocardial infarction (MI). The intermittent or "stuttering" symptoms that precede MI are referred to as "prodromal symptoms." These symptoms have been shown to correlate with cyclic ST changes and repeated episodes of spontaneous reperfusion and occlusion, occurring during a period of hours or days before the acute ischemia proceeds to death or heart damage. These symptoms of p...
Source: Herz - March 6, 2024 Category: Cardiology Authors: Raymond D Bahr Source Type: research

Interfaces in cardiovascular medicine
Herz. 2024 Mar;49(2):91-94. doi: 10.1007/s00059-024-05238-1. Epub 2024 Mar 6.NO ABSTRACTPMID:38446178 | DOI:10.1007/s00059-024-05238-1 (Source: Herz)
Source: Herz - March 6, 2024 Category: Cardiology Authors: Christoph Maack Source Type: research

Acute prevention of a  heart attack : Early identification of prodromal symptoms as the Rosetta Stone in decoding the heart attack problem
Herz. 2024 Mar 6. doi: 10.1007/s00059-024-05239-0. Online ahead of print.ABSTRACTChest discomfort before severe chest pain represents a marker of clinical ischemia and indicates live myocardium in jeopardy and often precedes cardiac arrest or acute myocardial infarction (MI). The intermittent or "stuttering" symptoms that precede MI are referred to as "prodromal symptoms." These symptoms have been shown to correlate with cyclic ST changes and repeated episodes of spontaneous reperfusion and occlusion, occurring during a period of hours or days before the acute ischemia proceeds to death or heart damage. These symptoms of p...
Source: Herz - March 6, 2024 Category: Cardiology Authors: Raymond D Bahr Source Type: research

Interfaces in cardiovascular medicine
Herz. 2024 Mar;49(2):91-94. doi: 10.1007/s00059-024-05238-1. Epub 2024 Mar 6.NO ABSTRACTPMID:38446178 | DOI:10.1007/s00059-024-05238-1 (Source: Herz)
Source: Herz - March 6, 2024 Category: Cardiology Authors: Christoph Maack Source Type: research

New categorization of chest pain: noncardiac is in, atypical is out!
Herz. 2024 Mar 1. doi: 10.1007/s00059-024-05240-7. Online ahead of print.ABSTRACTChest pain poses a diagnostic challenge in the emergency department and requires a thorough clinical assessment. The traditional distinction between "atypical" and "typical" chest pain carries the risk of not addressing nonischemic clinical pictures. The newly conceived subdivision into cardiac, possibly cardiac, and (probably) noncardiac causes of the presenting symptom complex addresses a much more interdisciplinary approach to a symptom-oriented diagnostic algorithm. The diagnostic structures of the chest pain units in Germany do not curren...
Source: Herz - March 1, 2024 Category: Cardiology Authors: Stephan Settelmeier Sebastian Steven Felix Post Ingo Ahrens Evangelos Giannitsis Frank Breuckmann Arbeitsgruppe Akuter Thoraxschmerz (AG 44) der Deutschen Gesellschaft f ür Kardiologie – Herz- und Kreislaufforschung e. V. (DGK) Source Type: research