

In many cases this involves an excessive number of diagnoses of acute ischemic heart disease that are not confirmed later, thus originating a large number of unnecessary admissions.

1 However, both emergency care physicians and cardiologists have been instructed in the need to exclude this pathology in all such patients. Nevertheless, the percentage of patients with acute coronary syndrome is small. This means that the emergency services of the average hospital receive 20 to 30 patients with chest pain every day. Between 5% and 20% of patients who visit the emergency services do so for chest pain. The same can be said of the patients who visit the emergency services with a condition dominated by chest pain. The emergency services of Spain attend patients with pathologies of widely varying type and severity.
