Dolor torácico en el servicio de urgencias

Abstract

Introduction: Chest pain is one of the leading causes of consultation in the emergency department, the etiology is varied and the initial misdiagnosis may complicate the course of the patient for lack of treatment Objetives: To determine the percentage of probability of acute coronary ischemic event in the presence of typical chest pain (retrosternal, squeezing, radiation, duration increased to 20 Minto, autonomic symptoms accompanying) and initial clinical evaluation in patients treated in the emergency department Adult National Medical Center "La Raza" from October to December 2009. Methods: We identified all patients in the adult Emergency Department, Centro Médico Nacional "La Raza" with chest pain with suspected acute myocardial infarction in the period from october to december 2009, aged 40 and 80 years, we excluded patients with known cardiac disease, with cocaine use, with noncardiac terminal disease with a history of trauma as well as patients transferred to another unit before the end of diagnosis and incomplete file. Review be conducted of the records in the clinical record and will be emptying the data collection sheet for descriptive statistical analysis. Results: We collected a total of 158 files in the indicated period, of whom 43 were excluded for not meeting inclusion criteria. The largest age group served was seen between 51-60 years, as well as female predominance with 59.5%. The cardiovascular risk factor most frequently found physical inactivity at 86.1%. Just as the intensity, duration of pain variables. 25.9% of cases the pain radiated to the dorsal region, 41.8% had nausea and accompanying symptom. Was observed in 40.5% of the normal electrocardiogram. Just as an overestimation of chest pain in 51.3% of cases and an average hospital stay 12.1hrs to have a diagnosis.