title: Pre-hospital management of patients with chest pain and/or dyspnoea of cardiac origin. A position paper of the Acute Cardiovascular Care Association (ACCA) of the ESC.
abstract: Chest pain and acute dyspnoea are frequent causes of emergency medical services activation. The pre-hospital management of these conditions is heterogeneous across different regions of the world and Europe, as a consequence of the variety of emergency medical services and absence of specific practical guidelines. This position paper focuses on the practical aspects of the pre-hospital treatment on board and transfer of patients taken in charge by emergency medical services for chest pain and dyspnoea of suspected cardiac aetiology after the initial assessment and diagnostic work-up. The objective of the paper is to provide guidance, based on evidence, where available, or on experts' opinions, for all emergency medical services' health providers involved in the pre-hospital management of acute cardiovascular care.
authors: Department of Cardiology, Interventional Cardiology and Cardiology Research Units, Caen University Hospital, France.
authors: Farzin
authors: F
authors: Beygui
authors: Department of Emergency Medicine and Services, Helsinki University Hospital and Helsinki University, Finland; Karolinska Institutet, Department of Clinical Science and Education, Stockholm, Sweden.
authors: Maaret
authors: M
authors: Castren
authors: University of Foggia, Italy.
authors: Natale Daniele
authors: ND
authors: Brunetti
authors: Empresa Pública de Emergencias Sanitarias de Andalucía, Spain.
authors: Fernando
authors: F
authors: Rosell-Ortiz
authors: Paracelsus Medical University, Nuremberg, Germany.
authors: Michael
authors: M
authors: Christ
authors: Wir leben Medizin, Klinikum der Stadt Ludwigshafen am Rhein gGmbH, Germany.
authors: Uwe
authors: U
authors: Zeymer
authors: Third Department of Medicine, Cardiology and Emergency Medicine, Wilhelminenhospital, Vienna, Austria.
authors: Kurt
authors: K
authors: Huber
authors: Department of Cardiology, Copenhagen University Hospital, Gentofte, Denmark.
authors: Fredrik
authors: F
authors: Folke
authors: Department of Medicine, Centre for Resuscitation Science, Karolinska Institutet Solna, Sweden.
authors: Leif
authors: L
authors: Svensson
authors: Centro Nacional de Investigaciones Cardiovasculares and Department of Cardiology, Hospital 12 de Octubre, Madrid, Spain.
authors: Hector
authors: H
authors: Bueno
authors: ISALA Academy, Interventional Cardiology, Zwolle, The Netherlands.
authors: Arnoud
authors: A
authors: Van't Hof
authors: Cardiology Department, Konstantopouleio General Hospital, Athens, Greece.
authors: Nikolaos
authors: N
authors: Nikolaou
authors: Universitätsmedizin Berlin, Charité, Campus Virchow-Klinikum, Medizinische Klinik m.S. Intensivmedizin und Nephrologie, Berlin, Germany.
authors: Lutz
authors: L
authors: Nibbe
authors: Emergency Department, University Hospital of Rangueil, Toulouse, France.
authors: Sandrine
authors: S
authors: Charpentier
authors: Department of Cardiology and Department of Medical and Health Sciences, Linköping University, Sweden.
authors: Eva
authors: E
authors: Swahn
authors: ICCU, Division of Cardiology, San Filippo Neri Hospital, Rome, Italy.
authors: Marco
authors: M
authors: Tubaro
authors: SAMU and Emergency Department, Lille University Hospital, France.
authors: Patrick
authors: P
authors: Goldstein
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications / Q000628:therapy; D000784:Aortic Dissection / Q000150:complications / Q000628:therapy; D001145:Arrhythmias, Cardiac / Q000150:complications / Q000628:therapy; D000075224:Cardiac Conduction System Disease / Q000150:complications / Q000628:therapy; D002305:Cardiac Tamponade / Q000150:complications / Q000628:therapy; D002318:Cardiovascular Diseases / Q000150:complications / Q000628:therapy*; D002637:Chest Pain / Q000209:etiology / Q000628:therapy*; D019468:Disease Management; D004417:Dyspnea / Q000209:etiology / Q000628:therapy*; D004562:Electrocardiography; D004632:Emergency Medical Services / Q000379:methods*; D005060:Europe; D006333:Heart Failure / Q000150:complications / Q000628:therapy; D006801:Humans; D010360:Patient Transfer; D010493:Pericarditis / Q000150:complications / Q000628:therapy; D011655:Pulmonary Embolism / Q000150:complications / Q000628:therapy; D018570:Risk Assessment; D000072657:ST Elevation Myocardial Infarction / Q000150:complications / Q000628:therapy; D012955:Societies, Medical
keywords: Pre-hospital; chest pain; dyspnoea