Prevalencia de las causas de dolor precordial en la Emergencia del Hospital Teodoro Maldonado Carbo
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
El dolor precordial es el segundo motivo de consulta más frecuente. 5-10% pacientes acuden a la emergencia por dolor precordial. Los pacientes se presentan con un espectro clínico que reflejan muchas potenciales etiologías de dolor precordial como enfermedades del corazón, aorta, pulmonares, pleura y vísceras abdominales. Hay 6 causas potencialmente mortales que deben descartarse al momento de presentación del paciente en la emergencia y estos son: síndrome coronario agudo, 31%; embolia pulmonar, 2%; neumotórax, no reportado; taponamiento pericárdico, no informado (pericarditis 4%); disección aórtica, 1%; perforación esofágica, no reportada. En el Ecuador la enfermedad cardíaca isquémica es la primera causa de muerte. Se realiza el estudio en pacientes con dolor precordial que acuden a la emergencia del Hospital Teodoro Maldonado Carbo, mayores de 17 años. El dolor precordial no especificado es el que tuvo mayor prevalencia, seguido del dolor precordial no cardíaco. Se presenta más en hombres que en mujeres.
Precordial pain is the second most frequent reason for consultation. 5-10% patients attend the emergency due to precordial pain. Patients present with a clinical spectrum that reflects many potential etiologies of precordial pain such as diseases of the heart, aorta, lungs, pleura and abdominal viscera. There are 6 potentially fatal causes that should be ruled out at the time of presentation of the patient in the emergency and these are: acute coronary syndrome, 31%; pulmonary embolism, 2%; pneumothorax, not reported; pericardial tamponade, not reported (pericarditis 4%); aortic dissection, 1%; esophageal perforation, not reported. In Ecuador, ischemic heart disease is the leading cause of death. The study is performed in patients with chest pain who come to the emergency room of Teodoro Maldonado Carbo Hospital, over 17 years of age. The precordial pain not specified is the one that had the highest prevalence, followed by noncardiac precordial pain. It occurs more in men than in women.
Precordial pain is the second most frequent reason for consultation. 5-10% patients attend the emergency due to precordial pain. Patients present with a clinical spectrum that reflects many potential etiologies of precordial pain such as diseases of the heart, aorta, lungs, pleura and abdominal viscera. There are 6 potentially fatal causes that should be ruled out at the time of presentation of the patient in the emergency and these are: acute coronary syndrome, 31%; pulmonary embolism, 2%; pneumothorax, not reported; pericardial tamponade, not reported (pericarditis 4%); aortic dissection, 1%; esophageal perforation, not reported. In Ecuador, ischemic heart disease is the leading cause of death. The study is performed in patients with chest pain who come to the emergency room of Teodoro Maldonado Carbo Hospital, over 17 years of age. The precordial pain not specified is the one that had the highest prevalence, followed by noncardiac precordial pain. It occurs more in men than in women.
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DOLOR EN EL PECHO, PREVALENCIA, SERVICIO DE URGENCIA EN HOSPITAL, HOSPITAL DE ESPECIALIDADES DR. TEODORO MALDONADO CARBO, CANTON GUAYAQUIL, ECUADOR, FACTORES DE RIESGO