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Emerg. Med. Clin. North Am. · Aug 2016
ReviewEvaluation and Management of Chest Pain in the Elderly.
- Rohit Gupta and Robert Munoz.
- Department of Emergency Medicine, Advocate Christ Medical Center, 4440 West 95th Street, Oak Lawn, IL 60453, USA. Electronic address: rogu_md@yahoo.com.
- Emerg. Med. Clin. North Am. 2016 Aug 1; 34 (3): 523542523-42.
AbstractGeriatric patients are at increased risk for serious morbidity and mortality from life-threatening causes of chest pain. This article covers 5 life-threatening causes of chest pain in the elderly: acute coronary syndrome, aortic dissection, pulmonary embolism, pneumothorax, and esophageal rupture. Atypical presentations, frailty, and significant comorbidities that characterize the elderly make the diagnosis and treatment of these already complicated conditions even more complicated. The emergency provider must be vigilant and maintain a low threshold to test. When a diagnosis is made, treatment must be aggressive. The elderly benefit from optimal care.Copyright © 2016 Elsevier Inc. All rights reserved.
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