The Role of Emergency Physicians on the Management of Chest Pain

Öz

Background and Objective: Chest pain is a common and important admission complaint of patients in the emergency department (ED).  The differential diagnosis especially in terms of acute coronary syndrome (ACS) should be done carefully by emergency physicians. The present study aims to identify patients with chest pain according to presence of ACS in the ED.

Material and Methods: The patients who admitted to the ED of a university hospital in a year period with chest pain complaint were enrolled into the study prospectively. The information that include  age, gender, type of chest pain, duration of pain, medical history, transporting way to the ED, duration time of electrocardiography (ECG) recording, main diagnosis, consultation status, last condition of patients and length of stay of patients were recorded. The data were analyzed by SPSS 17.0 program.

Results: Totally 325 patients with chest pain complaint were enrolled into the study. 24.3% of patients with chest pain were diagnosed as ACS.It was found that most of the patients (42.5%) came to ED by the ambulance.110 (33.8%) of 325 patients with chest pain were consulted with cardiologists.  The older age was found to be related with ACS significantly (p<0.001). Additionally; compressive, burning and squeezing types of chest pain were associated with ACS (p<0.040). The length of stay in the ED was found shorter in ACS+ group than ACS- group (p<0.001).

Conclusion: The presented study indicates the role of emergency physicians on the management of patients with chest pain. The early and true diagnosis of patients is very important and essential particularly for the management of ACS in the ED.

Anahtar Kelimeler

• Chest pain,emergency department,acute coronary syndrome

The Role of Emergency Physicians on the Management of Chest Pain

Öz

Giriş ve Amaç: Göğüs ağrısı, acil serviste yaygın ve önemli bir başvuru şikayetidir. Özellikle akut koroner sendromu (AKS) içeren ayırıcı tanı acil servis hekimleri tarafından dikkatlice yapılmalıdır. Sunulan bu calışma acil servise göğüs ağrısı şikayeti ile gelen hastaların AKS olup olmamalarına göre incelenmesini amaçlamaktadır

Anahtar Kelimeler

• Göğüs ağrısı, acil servis, akut koroner sendrom

Kaynakça

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