The Approach to patients with chest pain in the emergency room

Abstract

The objective of this article is to review the emergency approach to patients with chest pain, emphasizing rapid assessment and accurate identification of underlying causes. Diagnostic methods, management strategies, and the importance of integrated care to improve clinical outcomes will be discussed. The research was conducted using Google Scholar, Scielo, and PubMed databases, utilizing descriptors based on the DeCS (Health Sciences Descriptors) database, including "Clinical Management," "Rapid Diagnostic Tests," "Myocardial Infarction," and "Physical Examination." Articles published between 2020 and 2024, in Portuguese or English, with full access and direct relevance to the topic were included. Theses, dissertations, paid or incomplete articles, and materials outside the established period were excluded. The results obtained highlight the complexity of managing patients with chest pain in emergency settings, emphasizing the importance of comprehensive assessment and rapid, precise intervention. Recognizing various etiologies and employing specific diagnostic and therapeutic strategies are essential for improving clinical outcomes. The integration of new technologies and adherence to evidence-based practices are crucial for the continuous evolution of managing this critical condition. Therefore, the approach to patients with chest pain in the emergency department is vital due to the potential for severe conditions. Thus, thorough evaluation and accurate tests are essential for proper diagnosis and effective management. The integration of new technologies and ethical practices improves the quality of care and clinical outcomes.