Prehospital misdiagnosis of acute cerebral disease for acute coronary syndrome: a retrospective study.
Josefin GrabertUlrich HeisterAndreas MayrAndrea KirfelChristian StaerkTobias FleckensteinMarkus VeltenPublished in: Scandinavian journal of trauma, resuscitation and emergency medicine (2022)
Acute cerebral disease misdiagnosed for ACS seems more common than assumed. Out of 758 patients with presumed ACS, 9 patients (1.2%) suffered from ACD, which were cerebrovascular accidents mainly. This is highly relevant, since prehospital treatment with heparin and acetylsalicylic acid is indicated in ACS but contraindicated in cerebrovascular accidents without further diagnostics. Thus, discriminating these patients is crucial. An attentive patient history and examination may be the key to differentiating ACD. Due to small ACD group size, further studies are needed.
Keyphrases
- acute coronary syndrome
- end stage renal disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- liver failure
- prognostic factors
- peritoneal dialysis
- percutaneous coronary intervention
- subarachnoid hemorrhage
- respiratory failure
- magnetic resonance imaging
- coronary artery disease
- case report
- brain injury
- drug induced
- antiplatelet therapy
- blood brain barrier
- atrial fibrillation
- trauma patients