O síndrome coronário agudo nos cuidados de saúde primários.
It is thought that in the XXI century cardiovascular disease will become the main cause of disability ant death in the world. Cardiac complaints are very common in clinical practice and the high prevalence of coronary disease and its sequels puts the family doctor in the frontline of the struggle ag...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Ordem dos Médicos
2010-04-01
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| Series: | Acta Médica Portuguesa |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/614 |
| _version_ | 1797996258038644736 |
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| author | António Macedo Fernando Rosa |
| author_facet | António Macedo Fernando Rosa |
| author_sort | António Macedo |
| collection | DOAJ |
| description | It is thought that in the XXI century cardiovascular disease will become the main cause of disability ant death in the world. Cardiac complaints are very common in clinical practice and the high prevalence of coronary disease and its sequels puts the family doctor in the frontline of the struggle against this pathology. This review pretends to inform about the presentation, diagnosis and urgent approach of the acute coronary syndrome as well as the need of continuity of care and secondary prevention.Coronary disease can appear as a myocardial infarction and occurs predominantly in a population susceptible to atherogenesis due to various risk factors. Acute thoracic discomfort is the most usual clinical presentation and the initial evaluation intends to determine its cause through a brief clinical history, physical exam, electrocardiogram and dosing of markers of cardiac necrosis. After confirmation of the diagnosis the patient is submitted to urgent treatment that depends on the form of presentation of the acute coronary syndrome. It usually involves study of coronary anatomy by coronariography and revascularization. After the acute event the coronary patient must initiate a medical therapy with drugs that reduce mortality (antiplatelet therapy, beta-blockers, angiotensin converting enzyme inhibitors and statins) and aggressively control the modifiable risk factors.The family doctor has a primordial role in continuing care initiated at the hospital and in implementing aggressive secondary prevention measures. By knowing and putting them into practice, the family doctor takes his part in reducing the burden of cardiovascular diseases and in controlling this epidemic. |
| first_indexed | 2024-04-11T10:14:44Z |
| format | Article |
| id | doaj.art-166b4164216140d9b767513ee3229c32 |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-11T10:14:44Z |
| publishDate | 2010-04-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-166b4164216140d9b767513ee3229c322022-12-22T04:29:59ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582010-04-0123210.20344/amp.614O síndrome coronário agudo nos cuidados de saúde primários.António Macedo0Fernando RosaMedicina Geral e Familiar, Centro de Saúde da Senhora da Hora (ULS Matosinhos).It is thought that in the XXI century cardiovascular disease will become the main cause of disability ant death in the world. Cardiac complaints are very common in clinical practice and the high prevalence of coronary disease and its sequels puts the family doctor in the frontline of the struggle against this pathology. This review pretends to inform about the presentation, diagnosis and urgent approach of the acute coronary syndrome as well as the need of continuity of care and secondary prevention.Coronary disease can appear as a myocardial infarction and occurs predominantly in a population susceptible to atherogenesis due to various risk factors. Acute thoracic discomfort is the most usual clinical presentation and the initial evaluation intends to determine its cause through a brief clinical history, physical exam, electrocardiogram and dosing of markers of cardiac necrosis. After confirmation of the diagnosis the patient is submitted to urgent treatment that depends on the form of presentation of the acute coronary syndrome. It usually involves study of coronary anatomy by coronariography and revascularization. After the acute event the coronary patient must initiate a medical therapy with drugs that reduce mortality (antiplatelet therapy, beta-blockers, angiotensin converting enzyme inhibitors and statins) and aggressively control the modifiable risk factors.The family doctor has a primordial role in continuing care initiated at the hospital and in implementing aggressive secondary prevention measures. By knowing and putting them into practice, the family doctor takes his part in reducing the burden of cardiovascular diseases and in controlling this epidemic.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/614 |
| spellingShingle | António Macedo Fernando Rosa O síndrome coronário agudo nos cuidados de saúde primários. Acta Médica Portuguesa |
| title | O síndrome coronário agudo nos cuidados de saúde primários. |
| title_full | O síndrome coronário agudo nos cuidados de saúde primários. |
| title_fullStr | O síndrome coronário agudo nos cuidados de saúde primários. |
| title_full_unstemmed | O síndrome coronário agudo nos cuidados de saúde primários. |
| title_short | O síndrome coronário agudo nos cuidados de saúde primários. |
| title_sort | o sindrome coronario agudo nos cuidados de saude primarios |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/614 |
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