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Nurse management of ischemic thoracic pain in hospital emergency services

MOJ Gerontology & Geriatrics
Astasio Picado Alvaro

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Chest pain is sometimes the reflection of minor pathologies, but in others, it is the expression of serious situations. The most important aspect in patients with chest pain is to detect the presence of Acute Coronary Syndrome since 20% of the consultations of the hospital emergency services for chest pain are diagnosed with acute myocardial infarction. The general objective is to evaluate the scientific evidence on interventions and treatment in patients with ischemic chest pain in the emergency services. The bibliographic search was carried out in the period of time between November 2019 and May 2020, finally a total of 24 articles were selected. The results show that DT caused by SCA can be treated pharmacologically with the new P2Y12 inhibitors, although it is not recommended that the treatment be exclusively pharmacological. The optimal time to initiate other treatment strategies such as coronography and coronary intervention is 12 to 24 hours.


chest pain, acute coronary syndrome, nursing care, ischemic heart disease, unstable angina pectoris