<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-671X</journal-id>
<journal-title><![CDATA[Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Medicina Interna]]></abbrev-journal-title>
<issn>0872-671X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-671X2021000300003</article-id>
<article-id pub-id-type="doi">10.24950/o/235/20/3/2021</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Fast-Track Management of Acute Chest Pain: Experience Gained in a Hospital from Alentejo]]></article-title>
<article-title xml:lang="pt"><![CDATA[Protocolo de Atuação Rápida da Dor Torácica Aguda: Experiência Obtida num Hospital do Alentejo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[Joana C F]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguiar]]></surname>
<given-names><![CDATA[João Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paixão-Ferreira]]></surname>
<given-names><![CDATA[Margarida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calixto]]></surname>
<given-names><![CDATA[Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cesário]]></surname>
<given-names><![CDATA[Vera]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Filipa Alves da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vaz]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital José Joaquim Fernandes Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[Beja ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de Lisboa Faculdade de Farmácia Instituto de Investigação do Medicamento (iMED.ULisboa)]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Universitário Egas Moniz (IUEM) Centro de Investigação Interdisciplinar Egas Moniz (CiiEM) ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>28</volume>
<numero>3</numero>
<fpage>3</fpage>
<lpage>8</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-671X2021000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-671X2021000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-671X2021000300003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract   Introduction:  As an effort to reduce mortality associated with acute myocardial infraction (AMI), a fast-track approach named Via Verde Coronária (VVC) was implemented nationwi-de in 2007. Data on how this approach is performing in different hospitals is still scarce. Our aims were to characterize the main diagnoses of patients included in VVC and to evaluate the proportion of cases diagnosed with AMI.  Material and Methods:  A retrospective observational study was undertaken in the emergency department of a hospital from Alentejo (06/2017-05/2018). Patients were included if they were aged 18 or older and presented AMI-related symptoms. The main diagnosis was retrieved from medical records and the proportion of AMI was calculated. Data analysis was performed using uni and bivariate statistics (IBM SPSS v.27.0).  Results:  A total of 338 patients were included, where 56.5% (n = 191) were male with a mean age of 63.9 ± 15.1 {19;96} years old. The majority of diagnoses were from the circulatory system (61.2%, n = 207). AMI was present in 27.2% (n = 92/338) of the sample. There were differences when comparing the number of risk factors between patients with AMI and non-AMI (2.83 ± 1.54 vs 2.06 ± 1.49 risk factors/patient, respectively; p &lt; 0.001) and in patients with NSTEMI and STEMI (3.25 ± 1.36 vs 1.81 ± 1.50 risk factors/patient, respectively; p &lt; 0.001). There was a statistically significant difference when analyzing the duration of pain between patients with AMI and non-AMI (6.24 ± 9.08 vs 10.53 ± 18.23 hours of pain, respectively; p = 0.032).  Conclusion: Data suggest that the majority of diagnosis in VVC was related to the circulatory system, and a quarter of them were AMI.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo   Introdução: Com vista à redução da mortalidade associa-da ao enfarte agudo do miocárdio (EAM), foi implementada a nível nacional, em 2007, a Via Verde Coronária (VVC). Exis-tem poucos estudos sobre o desempenho destes protocolos a nível intra-hospitalar e, por isso, pretende-se caracterizar os principais diagnósticos dos doentes incluídos na VVC e avaliar a proporção de casos de EAM.  Material e Métodos:  Foi realizado um estudo observacio-nal retrospetivo no serviço de urgência de um hospital do Alentejo (06/2017-05/2018). Foram incluídos doentes com &#8805; 18 anos e que apresentassem sintomas sugestivos de EAM. Os principais diagnósticos foram retirados dos processos clínicos e calculou-se a proporção de casos admitidos com EAM. Realizou-se análise estatística uni e bi-variada (IBM SPSS v.27.0).  Resultados:  Foram incluídos 338 doentes: 56,5% (n =191) eram homens e a idade média foi 63,9 ± 15,1 {19;96} anos. A maioria dos diagnósticos estabelecidos classificaram-se como enquadrados no sistema circulatório (61,2%, n = 207). A proporção do EAM foi de 27,2% (n = 92/338). Foram observados significativamente mais fatores de risco cardiovascular nos doentes com EAM, comparativamente aos doentes sem EAM (2,83 ± 1,54 vs 2,06 ± 1,49 fatores de risco/doente, respetivamente; p &lt; 0,001) e em doentes com EAM sem elevação do segmento ST e EAM com elevação do segmento ST (3,25±1,36 vs 1,81 ± 1,50 fatores de risco/doente, respetivamente; p &lt; 0,001). Os doentes com diagnóstico de EAM registaram um tempo de dor significativamente inferior aos doentes sem EAM (6,24 ± 9,08 vs 10,53 ± 18,23 horas de dor, respetivamente; p = 0,032).  Conclusão:  A maioria dos diagnósticos nos doentes da VVC foi do sistema circulatório e cerca de um quarto apresen-aram EAM.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Doenças Cardiovasculares]]></kwd>
<kwd lng="pt"><![CDATA[Dor Torácica]]></kwd>
<kwd lng="pt"><![CDATA[Enfarte do Miocárdio]]></kwd>
<kwd lng="pt"><![CDATA[Procedimentos Clínicos]]></kwd>
<kwd lng="pt"><![CDATA[Serviço de Urgência Hospitalar]]></kwd>
<kwd lng="en"><![CDATA[Cardiovascular Diseases]]></kwd>
<kwd lng="en"><![CDATA[Chest Pain]]></kwd>
<kwd lng="en"><![CDATA[Critical Pathways]]></kwd>
<kwd lng="en"><![CDATA[Emergency Service, Hospital]]></kwd>
<kwd lng="en"><![CDATA[Myocardial Infarction]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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