Chest pain in the emergency room. Importance of a systematic approach

Bassan, Roberto; Scofano, Marcelo; Gamarski, Roberto; Dohmann, Hans F.; Pimenta, L; Volschan, André; Araújo, Mônica Peres de; Clare, Cristina; Fabrício, Marcelo; Sanmartin, Carlos Henrique; Mohallem, Kalil; Gaspar, Sergio; Macaciel, R

doi:10.1590/s0066-782x2000000100003

Cited by 13 publications

(8 citation statements)

References 21 publications

(55 reference statements)

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“…In this study, of the 52 (23.9%) patients with pain characterisation described in the medical record, 41 (78.8%) had typical MI pain (Bassan et al., ; Goldman & Ausiello, ) and, despite that, 19 (46.3%) were assigned a lower priority level, showing poor patient assessment. On the other hand, reports of atypical chest pain for MI make triage nurses confused and may cause them to disregard the cardiac origin of the pain, resulting in patients being assigned low priority.…”

Section: Discussionmentioning

confidence: 64%

“…Pain radiating to the left arm is more characteristic, but both sides can be affected. Patients can feel a sudden discomfort, but it is usually felt gradually, worsening over time, and with extended duration (from 20 min–several hours) (Bassan et al., ; Goldman & Ausiello, ). These characteristics must be identified by the nursing staff so that they are able to properly triage patients with this type of complaint.…”

Section: Introductionmentioning

confidence: 99%

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Factors that influence care priority for chest pain patients using the manchester triage system

Nonnenmacher

Pires

Moraes

et al. 2018

Journal of Clinical Nursing

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Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Factors that influence care priority for chest pain patients using the manchester triage system

Nonnenmacher

Pires

Moraes

et al. 2018

Journal of Clinical Nursing

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show abstract

“…During the last decade, several institutions have been engaged in implementing quality improvement initiatives aiming to optimise efficiency and outcomes. The first Chest Pain Unit in our country was developed in 1996 at Pró-Cardíaco Hospital, a private care institution in the city of Rio de Janeiro 32. Following this pioneering experience, other institutions established their own Chest Pain Units.…”

Section: Management Of Acute Coronary Syndromesmentioning

confidence: 99%

Coronary artery disease in Brazil: contemporary management and future perspectives

Polanczyk

Ribeiro

2009

Heart

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Cardiovascular diseases are responsible for 32% of total mortality in Brazil, mostly due to cerebrovascular and coronary artery disease. Epidemiological and socio-economical factors play a pivotal role on the distribution, severity and management of coronary artery disease, and the burden is greater in the southeast and south regions of the country, with a higher mortality in low-income populations. The Brazilian healthcare structure is divided into two complementary systems-public and private-but 75% of the population is covered exclusively by the public system. Some Brazilian institutions offer state-of-the-art care to patients with acute and chronic coronary artery disease, but regional inequalities in medical care are still significant. National policies will have to be implemented to fight risk factors, to ensure primary prevention strategies, including assistance on drugs with known protective effects, areas to be tackled by both the private and the public health sectors. Finally, large investments will have to be made to improve tertiary care, to reorganise systems of care for acute patients and mainly to ensure prompt access and continuity of cardiac care and secondary prevention strategies for the whole population.

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“…A rapid but systematic assessment of patients in a primary care setting is therefore essential in identifying those with potentially life-threatening aetiologies of chest pain. [1][2][3][4][5] Causes of chest pain Tables I and II show some of the causes of chest pain classified as life threatening and non-life threatening. 4,6 Goals and considerations in evaluating chest pain The goals of evaluating chest pain are:…”

Section: Introductionmentioning

confidence: 99%

Chest pain: An approach for family practice

Opolot¹

2006

South African Family Practice

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Chest pain is a common symptom in clinical practice and has many aetiological factors. A rapid but systematic assessment of patients in a primary care setting is essential to identify those with potential life-threatening aetiologies of chest pain. Once a life-threatening aetiology has been excluded, a correct diagnosis can be derived from a careful history, physical examination and a few selected investigations. A patient can then be referred to a hospital or a specialist for further evaluation. Not every patient needs to be referred. (SA Fam Pract 2005;47(9): 30-33) AbstractIntroduction Chest pain is a common symptom in clinical practice and has many aetiological factors, which range from life threatening to non-life threatening conditions. Its evaluation remains a diagnostic challenge, as it could variously be described as a feeling, pressure or a disagreeable sensation. A rapid but systematic assessment of patients in a primary care setting is therefore essential in identifying those with potentially life-threatening aetiologies of chest pain.

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Chest pain in the emergency room. Importance of a systematic approach

Abstract: Objective -

Cited by 13 publications

References 21 publications

Factors that influence care priority for chest pain patients using the manchester triage system

Factors that influence care priority for chest pain patients using the manchester triage system

Coronary artery disease in Brazil: contemporary management and future perspectives

Chest pain: An approach for family practice

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