Estratificación y manejo terapéutico del síndrome coronario agudo sin elevación del segmento st

Abstract

Objective: to determine the rapid assessment by risk stratification and the management of acute coronary syndrome without ST segment increase, in order to establish the cause of the increase in morbidity and mortality at the hospital level. Materials and methods: to carry out this investigative process, a review was made of 18 articles of the best evidence, the results of the indexed journals, 2 European and American clinical guidelines were included. The material in the study was carried out a synthesis in order to highlight the appropriate therapy with evidence 1A, respect for the care of the patient with acute coronary syndrome without ST segment grade. Results: the 20 bibliographies in the study obtained the following results, the TIMI / GRACE risk stratification are some of the keys for the patient's management, and also the coronary angiography as the standard gold and the pharmacological treatment that includes anti ischemic , anticoagulants, antiplatelet agents and statins, later modifiable risk factors are corrected. Conclusions: the clinical and therapeutic guidelines for the adequate management for the patient are described in the literature, with sufficient studies that corroborate the information, however the lack of resources in the underdeveloped countries and the lack of adherence to the treatment, lead to the increase of the Morbimortality and the deterioration of the quality of life.