Vargas RA, González CO, Díaz VV

Language: Spanish
References: 41
Page: 7-14
PDF size: 66.26 Kb.

ABSTRACT

Actually the ischemic heart disease is one of the major causes of mortality worldwide. As an example, in the United States, the number of patients seeking attention at the emergency services complaining of acute chest pain represents almost 5 millions each year. The annual mortality related with acute myocardial infarction is around 750,000. Time is myocardium. Unfortunately, the diagnosis of acute coronary syndrome in the first hours of acute chest pain may not be straightforward. The objective of this review is to provide an evidence based medicine approach to the patient complaining of acute chest pain in the emergency room. We will not discuss about those cases of acute chest pain with electrocardiographic anomalies such as ST segment elevation and/or recent left bundle branch block, mainly because these kind of patients should be treated as an acute myocardial infarction which is beyond the scope of the present review.

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