The Role of Emergency Physicians on the Management of Chest Pain

The data were analyzed by SPSS 17.0 program.Results: Totally 325 patients with chest pain complaint were enrolled into the study. 24.3% of patients with chest pain were diagnosed as ACS.It was found that most of the patients (42.5%) came to ED by the ambulance.110 (33.8%) of 325 patients with chest pain were consulted with cardiologists.

📌 3 Key Takeaways

🎯

Objective & Hypothesis:Background and Objective: Chest pain is a common and important admission complaint of patients in the emergency department (ED).

📊

Key Findings & Data:The data were analyzed by SPSS 17.0 program.Results: Totally 325 patients with chest pain complaint were enrolled into the study. 24.3% of patients with chest pain were diagnosed as ACS.It was found that most of the patients (42.5%) came to ED by the ambulance.110 (33.8%) of 325 patients with chest pain were consulted with cardiologists.

💡

Conclusion & Impact:The early and true diagnosis of patients is very important and essential particularly for the management of ACS in the ED.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Göğüs ağrısı · acil servis · akut koroner sendrom

Abstract

Background and Objective: Chest pain is a common and important admission complaint of patients in the emergency department (ED). The differential diagnosis especially in terms of acute coronary syndrome (ACS) should be done carefully by emergency physicians. The present study aims to identify patients with chest pain according to presence of ACS in the ED. Material and Methods: The patients who admitted to the ED of a university hospital in a year period with chest pain complaint were enrolled into the study prospectively. The information that include age, gender, type of chest pain, duration of pain, medical history, transporting way to the ED, duration time of electrocardiography (ECG) recording, main diagnosis, consultation status, last condition of patients and length of stay of patients were recorded. The data were analyzed by SPSS 17.0 program.Results: Totally 325 patients with chest pain complaint were enrolled into the study. 24.3% of patients with chest pain were diagnosed as ACS.It was found that most of the patients (42.5%) came to ED by the ambulance.110 (33.8%) of 325 patients with chest pain were consulted with cardiologists. The older age was found to be related with ACS significantly (p<0.001). Additionally; compressive, burning and squeezing types of chest pain were associated with ACS (p<0.040). The length of stay in the ED was found shorter in ACS+ group than ACS- group (p<0.001). Conclusion: The presented study indicates the role of emergency physicians on the management of patients with chest pain. The early and true diagnosis of patients is very important and essential particularly for the management of ACS in the ED.

Özet

Giriş ve Amaç: Göğüs ağrısı, acil serviste yaygın ve önemli bir başvuru şikayetidir. Özellikle akut koroner sendromu (AKS) içeren ayırıcı tanı acil servis hekimleri tarafından dikkatlice yapılmalıdır. Sunulan bu calışma acil servise göğüs ağrısı şikayeti ile gelen hastaların AKS olup olmamalarına göre incelenmesini amaçlamaktadır

Keywords

Göğüs ağrısı acil servis akut koroner sendrom Chest pain emergency department acute coronary syndrome

🔖

Cite This Article

BAŞOL, N., ÇIĞŞAR, G., ATALAY, E., CAN, S., GÜNAL, E., ÖZDEMİR, M. T., KESKİN, Ö. (2016). The Role of Emergency Physicians on the Management of Chest Pain. Journal of Contemporary Medicine, Cilt: 6 - Sayı: 1, 30–34. https://ajindex.com/articles/775537

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (9)

REFERENCES Puelacher C, Hillinger P, Wagener M, Muller C. Cardiac biomarkers for infarct diagnosis and early exclusion of acute coronary syndrome. Herz. 2014;39(6):668-71.
Mas-Stachurska A, Miro O, Sitges M, de Caralt TM, Perea RJ, Lopez B, et al. Exercise echocardiography and multidetector computed tomography for the evaluation of acute chest pain. Revista espanola de cardiologia. 2015;68(1):17-24.
Lipinski MJ, Baker NC, Escarcega RO, Torguson R, Chen F, Aldous SJ, et al. Comparison of conventional and high-sensitivity troponin in patients with chest pain: a collaborative meta-analysis. American heart journal. 2015;169(1):6-16 e6. Smith FG, Brogan RA, Alabas O, Laut KG, Quinn T, Bugiardini R, et al. Comparative care and outcomes for acute coronary syndromes in Central and Eastern European Transitional countries: A review of the literature. European heart journal Acute cardiovascular care. 2014 sep. 11. pii: 2048872614551545. Kılıçaslan İ, Bozan H, Oktay C, Göksu E. Türkiye’de acil servise başvuran hastaların demografik özellikleri. Türkiye Acil Tıp Dergisi. 2005;5(1):5-13.
Banu KY, Niyazi OD, Erdem C, Dpekci Afsin DH, Ozlem U, Yasemin C, et al. Value of heart-type fatty acid-binding protein (H-FABP) for emergency department patients with suspected acute coronary syndrome. African health sciences. 2014;14(3):757-62.
Bonow RO, Masoudi FA, Rumsfeld JS, DeLong E, Estes NAM, Goff DC, et al. ACC/AHA classification of care metrics: performance measures and quality metrics: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. Journal of the American College of Cardiology. 2008;52(24):2113-7.
Khursheed M, Fayyaz J, Feroze A, Shakeel N, Bhatti JA. Time to treatment in patients of suspected acute coronary syndrome in Pakistan: A clinical audit. Heart & lung: the journal of critical care. 2015;44(1):63-7.
Wu AH, Apple FS, Gibler WB, Jesse RL, Warshaw MM, Valdes R, Jr. National Academy of Clinical Biochemistry Standards of Laboratory Practice: recommendations for the use of cardiac markers in coronary artery diseases. Clinical chemistry. 1999;45(7):1104-21.
Kelly AM, Klim S, Soon K. External validation of the GRACE Freedom from Events score in an emergency department 'rule out ACS' chest pain cohort. International journal of cardiology. 2015;179:358-9.
Collinson PO, Premachandram S, Hashemi K. Prospective audit of incidence of prognostically important myocardial damage in patients discharged from emergency depa