<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0793</journal-id>
<journal-title><![CDATA[Iatreia]]></journal-title>
<abbrev-journal-title><![CDATA[Iatreia]]></abbrev-journal-title>
<issn>0121-0793</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-07932022000400433</article-id>
<article-id pub-id-type="doi">10.17533/udea.iatreia.174</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Diagnóstico del síndrome coronario agudo en primer nivel de atención en Colombia e indicaciones de traslado emergente a mayor nivel de complejidad, ¿es posible sin enzimas cardiacas?]]></article-title>
<article-title xml:lang="en"><![CDATA[Diagnosis of acute coronary syndrome in the primary care in Colombia and indications for emergent transfer at a higher level of complexity, is it possible without cardiac enzymes?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ricaurte-Carmona]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saldarriaga-Saldarriaga]]></surname>
<given-names><![CDATA[Carlos Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Municipio de San Vicente  ]]></institution>
<addr-line><![CDATA[San Vicente Antioquia]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Mayo Clinic Departamento de Anestesia ]]></institution>
<addr-line><![CDATA[Rochester Minnesota]]></addr-line>
<country>USA</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>35</volume>
<numero>4</numero>
<fpage>433</fpage>
<lpage>446</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-07932022000400433&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-07932022000400433&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-07932022000400433&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El dolor torácico es un motivo de consulta frecuente en el servicio de urgencias y la falta de diagnóstico oportuno del síndrome coronario agudo se asocia a una alta mortalidad y demandas médicas. Existen múltiples algoritmos para descartar esta enfermedad que, sin embargo, están diseñados para instituciones con disponibilidad de biomarcadores cardíacos; en Colombia pocos primeros niveles de atención cuentan con estos. En este artículo se realiza una revisión sobre las herramientas que se han descrito en la literatura para descartar este diagnóstico en el servicio de urgencias de baja complejidad. Se encuentran tres escalas Vancouver Chest Pain Rule, INTERCHEST y Marburg Heart, la última es la que tiene mayor evidencia con algunas limitaciones al ser desarrollada en el contexto de dolor intermitente y no agudo. Se plantea un algoritmo diagnóstico que incluye clínica, electrocardiograma y escalas de predicción.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary Chest pain is a frequent complaint in the emergency department, and the lack of timely diagnosis of the acute coronary syndrome is associated with high mortality and malpractice lawsuits. There are multiple algorithms to rule out this disease; however, they are designed for institutions with the availability of cardiac biomarkers; In Colombia, few primary care settings have these. This article reviews the tools that have been described in the literature to rule out this diagnosis in the low-complexity emergency department. There are three scales: Vancouver Chest Pain Rule, INTERCHEST, and Marburg Heart; the latter has the most evidence with some limitations as it was developed in the context of intermittent and non-acute pain. We propose a diagnostic algorithm including physical findings, electrocardiogram, and prediction scales.]]></p></abstract>
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<kwd lng="es"><![CDATA[Atención Primaria de Salud]]></kwd>
<kwd lng="es"><![CDATA[Dolor en el Pecho]]></kwd>
<kwd lng="es"><![CDATA[Infarto del Miocardio]]></kwd>
<kwd lng="es"><![CDATA[Población Rural]]></kwd>
<kwd lng="en"><![CDATA[Chest Pain]]></kwd>
<kwd lng="en"><![CDATA[Myocardial Infarction]]></kwd>
<kwd lng="en"><![CDATA[Primary Health Care]]></kwd>
<kwd lng="en"><![CDATA[Rural population]]></kwd>
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