SciELO - Scientific Electronic Library Online

vol.43 issue2Mortality and readmission to the intensive care unitAdverse reactions to drugs in a surgical emergency unit author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Revista Cubana de Medicina Militar

Print version ISSN 0138-6557


RIVERON RICARDO, Ibet; SANTOS HERNANDEZ, Aldo Miguel; CAMPOS GONZALEZ, Maydelin  and  SUNOL MULET, Dariel. Etiologic profile and risk stratification in patients with acute chest pain. Rev Cub Med Mil [online]. 2014, vol.43, n.2, pp.206-215. ISSN 0138-6557.

Introduction: acute chest pain (ACP) is manifested by peak feeling in the chest, between the diaphragm and the base of the neck. This pain can be extracardiac, heart or undetermined origin; it can be traumatic or by other causes. Objective: to identify the etiologic profile and risk stratification of patients with acute chest pain. Methods: a longitudinal descriptive study was conducted on case. 634 patients were studied. They had chest pain and they attended the cardiology service at Holguin Military Hospital from January to December 2011. Results: chest pain had an incidence of 60 per 100 patients. Initially 59 % were identified in patients with coronary chest pain, and the rest of the cases could be defined by clinical follow-up studies and amounted 66 %. The scale of the coronary risk factors (3 to 5 points) identified 93 %. The etiology of pain was determined in 58 out of 115 patients with an initial diagnosis of undetermined-origin pain; 13.9 % was impossible to determine. In risk stratification, patients with intermediate to high risk for atherosclerotic disease were those with coronary pain which represents 57.8 % and 27.6 % respectively. Conclusion: the etiology of pain with undetermined origin is coronary pain. The incidence of patients with acute chest pain in the outpatient service is high.

Keywords : chest pain; coronary risk factors; atherosclerotic disease.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )