Manejo de urgencia del síndrome coronario agudo en el adulto

Abstract

INTRODUCTION: Ischemic heart disease is due to the lack of appropriate oxygen supply to the myocardium mainly due to the obstruction of the coronary arteries caused by atherosclerosis; its most serious manifestation is acute coronary syndrome, which is an important cause of mortality, so its correct diagnosis and management is essential. OBJECTIVE: To describe the main strategic management tools in the emergency treatment of acute coronary syndrome in adults by reviewing the literature of scientific articles in indexed journals in the last five years, in order to make it useful from the point of view of teaching and care in the hospital activity in our setting. METHOD: A bibliographic review of articles in indexed journals and clinical practice guidelines of the last 5 years was carried out in platforms such as Pubmed, Medscape, LILACS and NIH, through which we collected information about the diagnosis and emergency treatment of acute coronary syndrome in adults. CONCLUSION: Coronary artery disease is caused by decreased myocardial blood flow or increased myocardial demand. Clinical manifestations range from asymptomatic disease to acute myocardial infarction and sudden death. Management is focused on restoration of coronary blood flow and pain relief