Dor torácica na sala de emergência – a importância de uma sistematização.

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 476 sheets of care patients received in emergency units of 4 hospitals in SUS or arrangement of Campina Grande. The study was primarily descriptive, quantitative, and desk with prospective method of procedure casual. There was slight female predominance (51.4%) with average of 47.7 ± 18.3 years and the first clinical manifestation of acute myocardial infarction. Was found a cardiac etiology of chest pain in 57,8% of the pacients, handled differently between planton emergencies, without any protocol or algorithm-specific treatment. In conclusion the lack of protocol for chest pain in emergency rooms shows an urgent correction, to speed, efficiency, quality of care and contain costs.