Puntos para una lectura rápida
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En el síndrome coronario agudo la rotura de placa y el trombo provocan una oclusión total y nuestro objetivo será conseguir lo antes posible la reperfusión mediante intervención coronaria percutánea o fibrinólisis.
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Las mujeres, las personas mayores y las personas con diabetes pueden experimentar síntomas inespecíficos o equivalentes de isquemia.
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Cuando el ECG inicial no es diagnóstico deben realizarse ECG secuenciales y utilizar derivaciones electrocardiográficas adicionales de V7 a V9 V3R y V4R.
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La atención prehospitalaria de los pacientes con SCACEST influye directamente en la probabilidad de supervivencia; la teleconsulta ayuda en la toma de decisiones y debe utilizarse para coordinar la terapia prehospitalaria.
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Cuando el paciente se presenta en un centro que no dispone de alerta hemodinámica se debe realizar el traslado a un centro que tenga los medios si el tiempo previsto hasta la realización de la angioplastia es menor a 120 minutos.
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Hay que administrar ácido acetilsalicílico salvo contraindicación desde el primer contacto médico con el paciente con sospecha de síndrome coronario agudo.
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Existen diferencias, desigualdades y sesgos de género en el manejo del SCA que es preciso reducir mejorando la formación de nuestros profesionales, la sensibilización de las mujeres y actuando de manera proactiva para detectar y acabar con estas diferencias.
Palabras clave
Síndrome coronario agudo
Angina inestable
Intervencionismo coronario percutáneo
Identifíquese
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