According to the literature, chest pain corresponds to an estimate of 5 to 9% of presenting complaints in Emergency Departments (ED) in the United States. In spite of the high rate of admission, there is still a 0,4 to 4% of patients who are discharged from an ED with a
missed Acute Myocardial Infarction. Diagnostic etiologies range from benign to life-threatening conditions, so there is the need for a clinical approach that is both safe and cost-effective. The diagnostic strategies are based on three elements: anamnesis and physical examination, Electrocardiography and chest X-ray. This article presents an Emergency Medicine-oriented perspective in the hopes of offering to the physician a strategie focused in ruling out life- threatening conditions in the first place and then define patient disposition in an efficient and safe manner.
Abiuso A., N. ., Brinkmann B., M. ., & Espinoza Z., C. . (2014). Dolor torácico en el Servicio de Urgencia. Revista Hospital Clínico Universidad De Chile, 25(3), pp. 226–31. https://doi.org/10.5354/2735-7996.2014.72801