Eficacia de un abordaje inicial temprano en paciente adulto con evento coronario crónico.

Abstract

Introduction: chronic coronary syndrome, also called stable angina pectoris, is considered a secondary response to a lack of irrigation in the epicardial vessels, caused by endothelial injury due to an atheromatous plaque. This pathology is considered of utmost importance since it is expected to have a relatively high mortality rate by 2030. Objective: To analyze the initial approach and complementary methods corresponding to chronic coronary syndrome, through the study of the most up-to-date bibliographic sources that favor the relevant diagnosis. Materials and methods: a documentary and comparative investigation of high-impact scientific articles is carried out, with a unique filter from the last 5 years, obtained from repositories such as PubMed, Science Direct, Scopus, Cochrane, among others, with the purpose of comparing results and obtaining conclusions. Development: 10 articles selected by ownership of diagnostic methods in patients with chronic coronary syndrome are compared, where concordant results are obtained regarding the initial approach, and discordant in relation to the non-invasive and invasive diagnostic method of choice. Conclusion: 100% agreement is obtained from the articles investigated on the initial approach, referring to the fact that every coronary syndrome must begin with the preparation of the practical clinical history where chest pain is specifically characterized. Divergences are obtained when choosing the most advanced diagnostic methods, however, the greatest approximation of similarity is found in 5 of 10 studies that consider single photon emission computed tomography to be elective.