Dor torácica na sala de emergência – a importância de uma sistematização no Hospital João XXIII.

Abstract

The chest pain is a relatively frequent manifestation symptomatic and complex, since it may be due to cardiac causes and non-cardiac multiple pathophysiological mechanisms, there is acute or chronic, with clinical expression not always easy to distinguish between different etiologies. Up to 7% of all cases treated in emergency care units related to complaints of chest pain. Thus, it was aimed to evaluate the chest pain and its systematization in the emergency room through a survey of 138 sheets of care patients received in emergency unit of hospital João XXIII. The study was primarily descriptive, quantitative, and desk with prospective method of procedure casual. There was slight female predominance (55%) with average of 52 ± 18.3 years and the first clinical manifestation of acute myocardial infarction. The professions were involved in percentile, with the retirement 46%, housewife 18%, farmer 14%, independent professional 7%, student 3%, and others professions such as driver and painter with 1,3% each one totaling the remaining 12%. Was found in 84,5% and etiology of chest pain to cardiac causes handled differently between Planton emergencies, without any protocol or algorithm-specific treatment. Among the various risk factors for cardiovascular disease was registered only the level of blood pressure (163/87 ± 13/7, respectively for systolic and diastolic pressures). In conclusion the lack of protocol for chest pain