Journals / Türkiye Acil Tıp Dergisi / 2011 / Cilt: 11 - Sayı: 3
The Relation Between the Intensity of Chest Pain of the People Who Applied to Emergency Room with Their Chest Pain Complaints with St Segment Changes and Acute Coronary Syndrome
- Journal
- Türkiye Acil Tıp Dergisi
- Pages
- 99–103
- DOI
- —
Abstract
ObjectivesIn this study, we aimed to reveal the relationship between the intensity of chest pain and likelihood of ACS and ST segment deviation in electrocardiography (ECG) of the patients who presented with chest-pain.MethodsTotal of 232 patients, 18 years and older, who were admitted to the emergency department (ED) with chest pain complaints were included in the study. Upon arrival at the ED, the relationship of the intensity of chest pain, as determined by the Numeric Rating Scale (NRS) scores and the ST segment changes in patient ECGs, as well as the likelihood of ACS by evaluating their troponin I levels were analyzed.ResultsOne hundred and twenty nine of the patients included in the study were male (55.6%). Mean NRS scores on admission of patients on their arrival at the ED was 5.5±2.8. While the mean of NRS scores of the 96 patients (41.4%) who were determined to have ST segment changes in their ECG on admission to the ED was found as 5.7±2.8, the mean NRS scores of 136 patients whose arrival ECGs were normal was found as 5.3±2.8 (p=0.281). The arrival NRS mean scores of the patients who were diagnosed with acute coronary syndrome was found 5.4±2.8, while the NRS mean scores of the 106 patients who was not diagnosed with ACS was found as 5.5±2.9 (p=0.853).ConclusionsWe conclude that the intensity of chest pain is not indicative whether the patient has ACS or not, nor and it has any relationship with changes detected in the ST segment of patient ECGs
Özet
Amaç Çalışmamızda, acil servise göğüs ağrısı ile başvuran hastaların, gö- ğüs ağrısı şiddeti ile eşzamanlı EKG'de bulunan ST segmenti deği- şikliklerinin ilişkisini ve akut koroner sendrom (AKS) olasılığını ortaya koymak amaçlandı. Gereç ve Yöntem Çalışmaya acil servise (AS) ardışık olarak göğüs ağrısı şikayeti ile başvuran 18 yaşından büyük 232 hasta alındı. Hastaların AS'ye gelişlerinde, göğüs ağrısının şiddetini gösteren geliş Nümerik Derecelendirme Ölçeği (NRS) skorları ile EKG'deki ST segment değişikliği, AKS olasılığı ve troponin I düzeyleri arasındaki ilişkiler analiz edildi. Bulgular Çalışmaya 232 hasta alındı, 129'u (%55.6) erkekti. Hastaların geliş NRS ortalamaları 5.5±2.8 olarak saptandı. Acil servise geliş EKG'lerinde ST segment değişikliği saptanan 96 hastanın (%41.4) geliş NRS ortalamaları 5.7±2.8 tespit edilirken, geliş EKG'si normal olan 136 (%58.6) hastanın 5.3±2.8 olarak bulundu (p=0.281). Akut koroner sendrom tanısı alan 126 hastanın geliş NRS ortalamaları 5.4±2.8 iken, AKS tanısı almayan 106 hastanın 5.5±2.9 olarak saptandı (p=0.853). Sonuç Çalışmamızda göğüs ağrısı şiddetinin hastaların AKS olup olmaması ve EKG'deki ST segment değişikliğini göstermesi üzerine etkisinin olmadığı görülmüştür.