Review Article
Volume 4 Issue 11 - 2020
Updates Emergency Ischemic Chest Pain
Adel Hamed Elbaih1,2*, Gamela M Nasr3, Alaa El Din M El Kasabi4 and Hossam H Yussef5
1Associate Professor of Emergency Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
2Associate Professor of Emergency Medicine, Medical Science Department, Faculty of Medicine, Sulaiman Al-Rajhi University, Saudi Arabia
3Professor of Cardiology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
4Professor of Anesthesiology and Intensive Care, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
5Resident Physician of Emergency Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
*Corresponding Author: Adel Hamed Elbaih, Associate Professor of Emergency Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt and Associate Professor of Emergency Medicine, Medical Science Department, Faculty of Medicine, Sulaiman Al-Rajhi University, Saudi Arabia.
Received: May 19, 2020; Published: October 15, 2020




Introduction: The hospital ED is one of the most important components of the health care system. There is an increase in numbers of chest pain patients visiting EDs leading to overcrowding, long waiting time, missed diagnostic cases and negative impact on patient satisfaction. Chest pain is one of the most common reasons people call for emergency medical help. Fortunately, chest pain was not always a signal for a heart attack. Often chest pain is unrelated to any heart problem. However, even if the chest pain the patient experience has nothing to do with his cardiovascular system, the problem may still be important and worth the time spent in an emergency room for evaluation. So, we aimed to update knowledge and review researches in the field of chest pain and reduction in waiting time, missed diagnostic cases and Overcome Crowdness Patients in emergency department.

Methods: Collection of all possible available data about the chest pain patients in the Emergency department. By many research questions to achieve these aims so, a midline literature search was performed with the keywords “critical care”, “emergency medicine”, “acute chest pain", "myocardial ischemia”. All studies introduced that the myocardial ischemia is a serious pathology that face patients of the emergency and critical care departments. Literature search included an overview of recent definition, causes, pathophysiology, prophylactic and recent therapeutic strategies.

Results: Myocardial Ischemia means narrowing of Coronaries whatever it was transient or permanent, partial or complete, painful or silent, recurrent or firstly experienced, recordable or not. This, although chambers are full of blood, makes heart muscle blood supply decreases and if it continued, it may result in myocardium permanent damage (Myocardial infarction).

Conclusion: "Prevention is better than cure" Decline in death rates could be achieved by adopting a healthier lifestyle. That is why it is important for healthcare professionals to implement primary and secondary prevention. And there are many types emergency department of chest pain risk stratifications so any one of them should be applied e.g. TIMI or HEART score in daily emergency work.

Keywords: Emergency Department; Myocardial Ischemia; Management

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Citation: Adel Hamed Elbaih., et al. “Updates Emergency Ischemic Chest Pain” EC Emergency Medicine and Critical Care 4.11 (2020): 12-47.

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