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ISSN 1561-3046 (Electronic)

2014, Number 2

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Rev Cub Med Mil 2014; 43 (2)

Etiologic profile and risk stratification in patients with acute chest pain

Riverón RIR, Santos HAM, Campos GM, Suñol MD

Language: Spanish
References: 32
Page: 206-215
PDF size: 86.91 Kb.


ABSTRACT

Introduction: acute chest pain (ACP) is manifested by peak feeling in the chest, between the diaphragm and the base of the neck. This pain can be extracardiac, heart or undetermined origin; it can be traumatic or by other causes.
Objective: to identify the etiologic profile and risk stratification of patients with acute chest pain.
Methods: a longitudinal descriptive study was conducted on case. 634 patients were studied. They had chest pain and they attended the cardiology service at Holguin Military Hospital from January to December 2011.
Results: chest pain had an incidence of 60 per 100 patients. Initially 59 % were identified in patients with coronary chest pain, and the rest of the cases could be defined by clinical follow-up studies and amounted 66 %. The scale of the coronary risk factors (3 to 5 points) identified 93 %. The etiology of pain was determined in 58 out of 115 patients with an initial diagnosis of undetermined-origin pain; 13.9 % was impossible to determine. In risk stratification, patients with intermediate to high risk for atherosclerotic disease were those with coronary pain which represents 57.8 % and 27.6 % respectively.
Conclusion: the etiology of pain with undetermined origin is coronary pain. The incidence of patients with acute chest pain in the outpatient service is high.


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