APPROACH TO THE DIFFERENTIAL DIAGNOSIS OF CHEST PAIN IN THE EMERGENCY
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , , , |
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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Brazilian Journal of Implantology and Health Sciences |
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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 |
_version_ |
1796798442873290752 |