APPROACH TO THE DIFFERENTIAL DIAGNOSIS OF CHEST PAIN IN THE EMERGENCY

Detalhes bibliográficos
Autor(a) principal: Gava , Fernanda Dardengo
Data de Publicação: 2023
Outros Autores: Sant’anna , Gusthavo Souza, Lopes, Ryan Nogueira, Oliveira, Karol Oliosi Paulino de, Souza, Bianca Teixeira, Brandão , Karollyn Fabiano, Duarte , Bárbara Altoé, Passos , Juliana paresqui dos, Ribeiro , Rafael Pacheco Monteiro, Filho , Eli Diniz Lima, Zanette, Ana Clara Carvalho, Araújo , Gabriella Ribeiro Cardoso
Tipo de documento: Artigo
Idioma: por
Título da fonte: Brazilian Journal of Implantology and Health Sciences
Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/1138
Resumo: Chest pain is one of the main causes of emergency hospitalizations, with 4 million visits being made annually. The causes of this condition range from muscle contractures to myocardial infarction and non-cardiogenic causes, such as disorders of the digestive tract. The subjectivity of chest pain becomes the main difficulty in the accurate diagnosis and necessary management for the patient. OBJECTIVE: Find ways to optimize the diagnosis of chest pain in emergency care, aiming to cause less cardiogenic damage to patients. METHODOLOGY: The present study consists of a literary review with a bibliographic survey in databases such as PubMed and Scielo. As an inclusion criterion, articles published in the last 16 years (2007 to 2023) that addressed the researched topic and that were available in digital format were considered. RESULTS: In the first consultation, the reception with the patient's risk classification enabled better flexibility, specification of the severity and risk factors that could be aggravating the patient's life. The most important initial exam is the ECG, which must be performed within 10 minutes, together with biomarkers and the history taken, which are important for the patient's differential diagnosis. FINAL CONSIDERATIONS: it was noticed that time is very important in the differential diagnosis of chest pain. However, speed is hampered by the subjectivity of patients' pain. Therefore, an adequate approach by healthcare professionals in this situation is necessary, in addition to new studies that can optimize emergency protocols.
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spelling APPROACH TO THE DIFFERENTIAL DIAGNOSIS OF CHEST PAIN IN THE EMERGENCYABORDAGEM DO DIAGNÓSTICO DIFERENCIAL DE DOR TORÁCICA NA EMERGÊNCIADiagnóstico diferencial; Dor torácica; Emergência.Differential diagnosis; Chest pain; Emergency.Chest pain is one of the main causes of emergency hospitalizations, with 4 million visits being made annually. The causes of this condition range from muscle contractures to myocardial infarction and non-cardiogenic causes, such as disorders of the digestive tract. The subjectivity of chest pain becomes the main difficulty in the accurate diagnosis and necessary management for the patient. OBJECTIVE: Find ways to optimize the diagnosis of chest pain in emergency care, aiming to cause less cardiogenic damage to patients. METHODOLOGY: The present study consists of a literary review with a bibliographic survey in databases such as PubMed and Scielo. As an inclusion criterion, articles published in the last 16 years (2007 to 2023) that addressed the researched topic and that were available in digital format were considered. RESULTS: In the first consultation, the reception with the patient's risk classification enabled better flexibility, specification of the severity and risk factors that could be aggravating the patient's life. The most important initial exam is the ECG, which must be performed within 10 minutes, together with biomarkers and the history taken, which are important for the patient's differential diagnosis. FINAL CONSIDERATIONS: it was noticed that time is very important in the differential diagnosis of chest pain. However, speed is hampered by the subjectivity of patients' pain. Therefore, an adequate approach by healthcare professionals in this situation is necessary, in addition to new studies that can optimize emergency protocols.A dor torácica é uma das principais causas de internações de emergência, sendo realizados anualmente 4 milhões de atendimentos. As causas desse quadro têm origem desde contraturas musculares a infarto do miocárdio e causas não cardiogênicas, como acometimentos do trato digestivo. A subjetividade da dor torácica se torna a principal dificuldade para o diagnóstico preciso e a conduta necessária para o paciente.   OBJETIVO: Encontrar formas que otimizem o diagnóstico da dor torácica nos atendimentos de emergência, visando causar menores danos cardiogênicos aos pacientes. METODOLOGIA: O presente estudo consiste em uma revisão literária com  levantamento bibliográfico em bases de dados como o PubMed e Scielo. Como critério de inclusão, foram considerados artigos publicados nos últimos 16 anos (2007 a 2023), que abordassem o tema pesquisado e que estivessem disponíveis em formato digital. RESULTADOS: No primeiro atendimento, a realização do acolhimento com classificação de risco do paciente, possibilitou uma melhor flexibilidade, especificação da gravidade e dos fatores de risco que possam ser agravantes para a vida do paciente. O exame inicial mais importante é o ECG, devendo ser realizado em até 10 minutos, junto aos biomarcadores e a história colhida, sendo importantes para o diagnóstico diferencial do paciente. CONSIDERAÇÕES FINAIS: percebeu-se que o tempo é muito importante no diagnóstico diferencial da dor torácica. Porém, a rapidez é dificultada pela subjetividade das dores dos pacientes. Assim, é necessário uma adequada abordagem do profissional da saúde nessa situação, além de novos estudos que possam otimizar os protocolos na emergência.Specialized Dentistry Group2023-12-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/113810.36557/2674-8169.2023v5n5p6133-6142Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 6133-6142Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 6133-6142Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 6133-61422674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1138/1291Copyright (c) 2023 Fernanda Dardengo Gava , Gusthavo Souza Sant’anna , Ryan Nogueira Lopes, Karol Oliosi Paulino de Oliveira, Bianca Teixeira Souza, Karollyn Fabiano Brandão , Bárbara Altoé Duarte , Juliana paresqui dos Passos , Rafael Pacheco Monteiro Ribeiro , Eli Diniz Lima Filho , Ana Clara Carvalho Zanette, Gabriella Ribeiro Cardoso Araújo https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGava , Fernanda DardengoSant’anna , Gusthavo SouzaLopes, Ryan NogueiraOliveira, Karol Oliosi Paulino de Souza, Bianca TeixeiraBrandão , Karollyn FabianoDuarte , Bárbara AltoéPassos , Juliana paresqui dosRibeiro , Rafael Pacheco MonteiroFilho , Eli Diniz LimaZanette, Ana Clara CarvalhoAraújo , Gabriella Ribeiro Cardoso2023-12-22T17:32:12Zoai:ojs.bjihs.emnuvens.com.br:article/1138Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2023-12-22T17:32:12Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false
dc.title.none.fl_str_mv APPROACH TO THE DIFFERENTIAL DIAGNOSIS OF CHEST PAIN IN THE EMERGENCY
ABORDAGEM DO DIAGNÓSTICO DIFERENCIAL DE DOR TORÁCICA NA EMERGÊNCIA
title APPROACH TO THE DIFFERENTIAL DIAGNOSIS OF CHEST PAIN IN THE EMERGENCY
spellingShingle APPROACH TO THE DIFFERENTIAL DIAGNOSIS OF CHEST PAIN IN THE EMERGENCY
Gava , Fernanda Dardengo
Diagnóstico diferencial; Dor torácica; Emergência.
Differential diagnosis; Chest pain; Emergency.
title_short APPROACH TO THE DIFFERENTIAL DIAGNOSIS OF CHEST PAIN IN THE EMERGENCY
title_full APPROACH TO THE DIFFERENTIAL DIAGNOSIS OF CHEST PAIN IN THE EMERGENCY
title_fullStr APPROACH TO THE DIFFERENTIAL DIAGNOSIS OF CHEST PAIN IN THE EMERGENCY
title_full_unstemmed APPROACH TO THE DIFFERENTIAL DIAGNOSIS OF CHEST PAIN IN THE EMERGENCY
title_sort APPROACH TO THE DIFFERENTIAL DIAGNOSIS OF CHEST PAIN IN THE EMERGENCY
author Gava , Fernanda Dardengo
author_facet Gava , Fernanda Dardengo
Sant’anna , Gusthavo Souza
Lopes, Ryan Nogueira
Oliveira, Karol Oliosi Paulino de
Souza, Bianca Teixeira
Brandão , Karollyn Fabiano
Duarte , Bárbara Altoé
Passos , Juliana paresqui dos
Ribeiro , Rafael Pacheco Monteiro
Filho , Eli Diniz Lima
Zanette, Ana Clara Carvalho
Araújo , Gabriella Ribeiro Cardoso
author_role author
author2 Sant’anna , Gusthavo Souza
Lopes, Ryan Nogueira
Oliveira, Karol Oliosi Paulino de
Souza, Bianca Teixeira
Brandão , Karollyn Fabiano
Duarte , Bárbara Altoé
Passos , Juliana paresqui dos
Ribeiro , Rafael Pacheco Monteiro
Filho , Eli Diniz Lima
Zanette, Ana Clara Carvalho
Araújo , Gabriella Ribeiro Cardoso
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Gava , Fernanda Dardengo
Sant’anna , Gusthavo Souza
Lopes, Ryan Nogueira
Oliveira, Karol Oliosi Paulino de
Souza, Bianca Teixeira
Brandão , Karollyn Fabiano
Duarte , Bárbara Altoé
Passos , Juliana paresqui dos
Ribeiro , Rafael Pacheco Monteiro
Filho , Eli Diniz Lima
Zanette, Ana Clara Carvalho
Araújo , Gabriella Ribeiro Cardoso
dc.subject.por.fl_str_mv Diagnóstico diferencial; Dor torácica; Emergência.
Differential diagnosis; Chest pain; Emergency.
topic Diagnóstico diferencial; Dor torácica; Emergência.
Differential diagnosis; Chest pain; Emergency.
description Chest pain is one of the main causes of emergency hospitalizations, with 4 million visits being made annually. The causes of this condition range from muscle contractures to myocardial infarction and non-cardiogenic causes, such as disorders of the digestive tract. The subjectivity of chest pain becomes the main difficulty in the accurate diagnosis and necessary management for the patient. OBJECTIVE: Find ways to optimize the diagnosis of chest pain in emergency care, aiming to cause less cardiogenic damage to patients. METHODOLOGY: The present study consists of a literary review with a bibliographic survey in databases such as PubMed and Scielo. As an inclusion criterion, articles published in the last 16 years (2007 to 2023) that addressed the researched topic and that were available in digital format were considered. RESULTS: In the first consultation, the reception with the patient's risk classification enabled better flexibility, specification of the severity and risk factors that could be aggravating the patient's life. The most important initial exam is the ECG, which must be performed within 10 minutes, together with biomarkers and the history taken, which are important for the patient's differential diagnosis. FINAL CONSIDERATIONS: it was noticed that time is very important in the differential diagnosis of chest pain. However, speed is hampered by the subjectivity of patients' pain. Therefore, an adequate approach by healthcare professionals in this situation is necessary, in addition to new studies that can optimize emergency protocols.
publishDate 2023
dc.date.none.fl_str_mv 2023-12-22
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/1138
10.36557/2674-8169.2023v5n5p6133-6142
url https://bjihs.emnuvens.com.br/bjihs/article/view/1138
identifier_str_mv 10.36557/2674-8169.2023v5n5p6133-6142
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/1138/1291
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Specialized Dentistry Group
publisher.none.fl_str_mv Specialized Dentistry Group
dc.source.none.fl_str_mv Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 6133-6142
Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 6133-6142
Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 6133-6142
2674-8169
reponame:Brazilian Journal of Implantology and Health Sciences
instname:Grupo de Odontologia Especializada (GOE)
instacron:GOE
instname_str Grupo de Odontologia Especializada (GOE)
instacron_str GOE
institution GOE
reponame_str Brazilian Journal of Implantology and Health Sciences
collection Brazilian Journal of Implantology and Health Sciences
repository.name.fl_str_mv Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)
repository.mail.fl_str_mv journal.bjihs@periodicosbrasil.com.br
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