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Thanks to the coordination at the Cardiovascular Center, every patient benefits fromoptimal and concerted care whether they came for planned cardiological investigations or came to HUG through the Emergency Room.
A patient arriving at the center with suspected coronary artery disease is first subject to an assessment of the severity of their health problem. This pre-diagnosis, which takes into account the information gathered during the history and physical examination as well as the presence of cardiovascular risk factors, allows to determinemore specific examinations to be carried out.
For example, in a patient with a high probability of coronary artery disease, a coronary angiography with visualization of the coronary catheter - through the wrists (in most cases) or the groin - is a crucial step.
In contrast, in a patient whose probability of coronary heart disease is low, a non-invasive examination may be sufficient, depending on the case, which consists of an exercise test, myocardial scintigraphy, cardiac MRI or stress echocardiography for example.
If a patient is admitted to ER for suspected acute coronary syndrome (myocardial infarction or "early infarction"), specifically on the basis of chest pain and the presence of cardiovascular risk factors, a diagnosis will either exclude or confirm coronary heart disease.
In the latter case, the support is specific depending on whether it is a start of an infarction or an actual infarction. For the start of an infarction, the estimated risk for complications determines the result of examinations. For an actual infarction, coronary angiography is carried out in Emergency, as well as angioplasty and catheter stenting.