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.

Beygui, FarzinCastren, MaaretBrunetti, Natale DanieleRosell-Ortiz, FernandoChrist, MichaelZeymer, UweHuber, KurtFolke, FredrikSvensson, LeifBueno, HectorVan't Hof, ArnoudNikolaou, NikolaosNibbe, LutzCharpentier, SandrineSwahn, EvaTubaro, MarcoGoldstein, PatrickACCA study group on pre-hospital care2025-01-072025-01-072015-08-27https://hdl.handle.net/10668/24738Chest 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.enPre-hospitalchest paindyspnoeaAcute Coronary SyndromeAortic DissectionArrhythmias, CardiacCardiac Conduction System DiseaseCardiac TamponadeCardiovascular DiseasesChest PainDisease ManagementDyspneaElectrocardiographyEmergency Medical ServicesEuropeHeart FailureHumansPatient TransferPericarditisPulmonary EmbolismRisk AssessmentST Elevation Myocardial InfarctionSocieties, MedicalPre-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.research article26315695open access10.1177/20488726156041192048-8734https://journals.sagepub.com/doi/pdf/10.1177/2048872615604119