Abstract

DUQUE H, CAMILO  and  OCHOA J, FRANCISCO LUIS. Diagnostic approach to patients with chest discomfort of coronary origin in the emergency department. CES Med. [online]. 2009, vol.23, n.2, pp.21-38. ISSN 0120-8705.

Coronary artery disease is today the number one cause of mortality worldwide. For doctors it is of the utmost importance to know the best possible way to approach these patients. The problem is that there is a lot of information on the subject and it is not always clear or easily applicable. This review intends to go over and explain the tools needed - adapted to the Colombian reality, in order for the clinician to be able and engage these patients knowing "the why" of the actions taken. The four topics where most of the mistakes are made will be reviewed, these are: evaluation of the probability, risk stratification, electrocardiogram interpretation and correct use of biomarkers.

Keywords : Chest pain; Chest discomfort; Coronary artery disease; Risk; Biomarkers; Diagnosis.

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