Prevalencia del síndrome coronario agudo en primer nivel de atención.

Objective: To determine the prevalence of suspicion and clinical diagnosis of acute coronary syndrome in the Family Medicine Unit (UMF) number 78 of the Instituto Mexicano del Seguro Social (IMSS) in Guadalajara, Jalisco, Mexico. Material and methods: Study conducted in patients who attended the service of the UMF number 78 of the IMSS with suspected diagnosis of acute coronary syndrome. It was stratified by TIMI scores, as well as the AMR risk prediction scale of the World Health Organization. Frequencies and proportions were used for qualitative variables in descriptive statistics; for quantitative variables average, median, mode and standard deviation. Results: From a total sample of 121 patients, acute coronary syndrome was ruled out of 10.5%. In the remaining 57 patients, a prevalence of suspicion and clinical diagnosis of acute coronary syndrome was found in 89.5%; all presented a clinical picture of chest pain and electrocardiographic changes. Conclusions: The prevalence of suspicion and diagnosis of acute coronary syndrome in the UMF number 78 in Guadalajara, Jalisco is 89.5%; all presented a clinical picture of chest pain and electrocardiographic changes. These findings show the importance of prioritizing prevention by trying to lower cardiovascular risk by decreasing modifiable risk factors and adequately controlling existing pathologies. In addition to improving the processes of clinical identification, electrocardiographic diagnosis, treatment in primary health care and timely referral to second or third level of health care. [ABSTRACT FROM AUTHOR]