Clinical or Interventional Treatment in Acute Coronary Syndrome

Abstract

Introduction: ACS has a wide clinical presentation, ranging from asymptomatic conditions to cardiac arrest, with chest discomfort being the main clinical symptom. Chest pain is a challenge for doctors in the emergency room and accounts for 5 to 10% of visits. Differentiating noncardiac chest pain from that of cardiac origin requires attention and mastery of diagnostic methods through the patient's clinic and tests such as troponin and electrocardiogram. Given the wide prognostic range, patients must receive a risk classification and, based on these data, receive appropriate therapeutic management. Goals: The main objective of this work is to understand the diagnostic methods and procedures applicable to everyday clinical practice, remaining within the recommendations of current scientific literature. Methods: This is a narrative bibliographic review. Scientific articles selected from the VHL, PubMed and Scielo databases were consulted. The eligibility of previously selected publications was based on the most recent studies available on the topic of ACS and AMI, preferably from 2019. Conclusions: The doctor must have ready access to the main recommendations and conduct of the most relevant guidelines on the subject of ACS/AMI and be able to adapt them to the local reality. This way, this work takes into consideration practical issues, based on current references and with a direct and objective reading on which flow to establish for each patient according to the technical structure of the unit where the patient with acute coronary syndrome was admitted and thus allow decision making between clinical or interventional treatment.