Dolor torácico en urgencias: frecuencia, perfil clínico y estratificación de riesgo

Martínez‐Sellés, Manuel; Bueno, Héctor; Sacristán, Alberto; Estévez, Agustín; Ortíz, Javier; Gallego, Laura; Fernández‐Avilés, Francisco

doi:10.1157/13125517

Cited by 45 publications

(13 citation statements)

References 17 publications

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“…The analysis of the Manchester triage system in this population showed that more than a half of the patients were stratified with a green or a yellow level of severity, in accordance with the high incidence of potentially benign causes of chest pain. The most frequent comorbidities were similar to other studies [ 7 , 9 ]; however we found a higher prevalence of hypertension and lower proportion of active smokers.…”

Section: Discussionsupporting

confidence: 91%

“…Our sample presented a male predominance, a wide range of age and a mean age similar to previous studies [ 7 – 9 ]. The analysis of the Manchester triage system in this population showed that more than a half of the patients were stratified with a green or a yellow level of severity, in accordance with the high incidence of potentially benign causes of chest pain.…”

Section: Discussionsupporting

confidence: 81%

“…The final diagnostic list of this population was extensive, with very different levels of severity, as in the literature [ 10 ]. Non-specific chest pain (mostly musculoskeletal pain) was the most frequent diagnosis, but with a proportion slightly lower than that reported in other studies, were it ranges from 43 to 59 % [ 7 , 11 ]. This diagnosis is thus probably the most frequent one in an unselected population.…”

Section: Discussionmentioning

confidence: 59%

“…Considering the diagnostic tests, and in comparison with the results of the Spanish study of Martínez-Sellés et al [ 7 ], our ED physicians requested more chest X-rays and cardiac biomarkers in this sample. The ECG is a first-line diagnostic tool in chest pain assessment and the time from ED arrival to ECG acquisition in this cohort was greater than the 10 min recommended in the current European Society of Cardiology guidelines [ 5 ].…”

Section: Discussionmentioning

confidence: 70%

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Chest pain in the emergency department: risk stratification with Manchester triage system and HEART score

Leite

Baptista

Leitão

et al. 2015

BMC Cardiovasc Disord

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BackgroundFast and accurate chest pain risk stratification in the emergency department (ED) is critical. The HEART score predicts the short-term incidence of major adverse cardiac events (MACE) in this population, dividing it in three risk categories. We aimed to describe the population with chest pain, to characterize the subgroup of patients with acute coronary syndrome (ACS) and to assess the prognostic value of Manchester triage system and of HEART score.MethodsRetrospective observational study including patients admitted to the ED of a tertiary hospital with chest pain as the presenting symptom. The primary outcome was a composite of all-cause mortality, myocardial infarction or unscheduled revascularization at 6 weeks.ResultsWe enrolled 233 patients (age 58 ± 19; 55.4 % males). The most common final diagnosis was non-specific chest pain (n = 86, 36.9 %), followed by ACS (n = 22, 9.4 %). Male gender, smoking and chronic kidney disease were associated with higher risk of ACS. According to Manchester triage system, chest pain patients stratified with red or orange priority had a higher incidence of ACS (16.5 % vs. 3.8 %, p = 0.006). The application of HEART score showed that most patients were in low risk category (56.3 %). The six-week incidence of MACE in each category was 2 %, 15.6 % and 76.9 % (p < 0.001). HEART score accurately predicted the short-term incidence of MACE in chest pain patients (c-statistic 0.880; 95 % CI, 0.807–0.950, p < 0.001).ConclusionsChest pain patients have very different levels of severity and the discriminatory power of Manchester triage system should be used in the assessment of this population. The HEART score seems to be an effective tool for risk stratification in the ED.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 70%

See 2 more Smart Citations

Chest pain in the emergency department: risk stratification with Manchester triage system and HEART score

Leite

Baptista

Leitão

et al. 2015

BMC Cardiovasc Disord

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show abstract

“…El dolor torácico constituye un motivo frecuente de consulta a los Servicios de Urgencias, motivando entre 5 y 20% de dichas consultas, según los hospitales 1 . Por este motivo, y dado que su etiología es múltiple y su gravedad muy variable, según la causa, resulta imprescindible su conocimiento por parte de los facultativos que habitualmente se enfrentan a este síntoma guía.…”

Section: Paroxysmal Tachycardia and Chest Pain In Emergency Wardsunclassified

Taquicardia paroxística y dolor torácico en urgencias

Lorente

2012

Rev. méd. Chile

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Troponinerhöhung – benötigt jeder Patient eine Koronarangiographie?

Adler

Baldus

2019

Med Klin Intensivmed Notfmed

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Dolor torácico en urgencias: frecuencia, perfil clínico y estratificación de riesgo

Cited by 45 publications

References 17 publications

Chest pain in the emergency department: risk stratification with Manchester triage system and HEART score

Chest pain in the emergency department: risk stratification with Manchester triage system and HEART score

Taquicardia paroxística y dolor torácico en urgencias

Troponinerhöhung – benötigt jeder Patient eine Koronarangiographie?

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