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Decision Aid Rules in Elderly Patients with Chest Pain
 Hrečko, Juraj ; Pudil, Radek (advisor) ; Moťovská, Zuzana (referee) ; Vítovec, Jiří (referee)
Acute chest pain is a common reason for examination at the emergency department. Elderly patients often have atypical symptoms, nonspecific changes on the electrocardiogram, and elevated levels of cardiac biomarkers from various causes. Differential diagnosis is quite broad and the aim of the examination at the emergency department should be to quickly rule out life-threatening conditions such as acute coronary syndrome, pulmonary embolism, or aortic dissection. Structured decision aid rules are accurate and can accelerate the diagnostic process, however we do not have sufficient data for the use of decision aids in the population of elderly. The aim of this work was: 1) to describe the clinical characteristics and occurrence of cardiac events in seniors examined at the emergency department for acute chest pain, 2) to identify risk factors for major cardiac events and 3) to compare the effectiveness and safety of selected decision aid rules for the rapid diagnosis of acute myocardial infarction in the population of elderly. We performed an analysis of patients older than 70 years who were examined within one year at the Department of Emergency Medicine of the University Hospital Hradec Králové for acute chest pain. Patients with ST segment elevations on the electrocardiogram were excluded from the...
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