Pharmacotherapeutic approaches to acute chest conditions: Insights from emergency medicine and pharmacy for general practitioners

Main Article Content

Abdullah Radattallah Alkhaledi1, Abdulrhman Ibrahim Mohammed Alzin2, Abdulrahman Turki Hassan Alshamrani3, Rahma Turki Hassan Alshamrani4, Mazen othman alhuzaymi5, Ali Hamad Ali Al-Sanani6, Anwar Saeed Sabti Alghamdi7, Amal Ali Mohammed Najmi8, Hassan Ahmed Abutaleb Alamri9, Amin Amer Ahmed Albadwi10, Alrohili Jamil Soliman11

Keywords

Pharmacotherapy, Acute Chest Conditions, Emergency Medicine, Pain Diagnosis and Management, Intervention.

Abstract

Acute chest pain is the primary symptom for several life-threatening diseases that require instant intervention.  A correct diagnosis is often delayed and clinical uncertainty is widespread, and mortality rates continue to be high among adults and children with acute chest conditions, such as pulmonary embolism (PE) and acute chest syndrome (ACS). This systematic review emphasizes the significance of pharmacotherapeutic approaches for general practitioners in diagnosing, managing and treating acute chest conditions. Pharmacotherapeutic approaches can be employed by general practitioners to enhance patients' quality of life, improve pain diagnosis and management, and reduce mortality and hospitalization through using cues from the patient’s clinical history, physical examination, and diagnostic testing (ECG and CXR) in their initial assessment to complete optimal pharmacotherapeutic interventions.

Abstract 175 | PDF Downloads 18

References

Amaechi O, Huffman MM, Featherstone K. Pharmacologic Therapy for Acute Pain. Am Fam Physician. 2021 Jul 1;104(1):63-72. PMID: 34264611.
Bellani G, Laffey JG, Pham T, Fan E, Brochard L, Esteban A, Gattinoni L, van Haren F, Larsson A, McAuley DF, Ranieri M, Rubenfeld G, Thompson BT, Wrigge H, Slutsky AS, Pesenti A. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in Intensive Care Units in 50 Countries. JAMA. 2016; 315:788. doi: 10.1001/jama.2016.0291.
Bosma KJ, Taneja R, Lewis JF. Pharmacotherapy for prevention and treatment of acute respiratory distress syndrome: current and experimental approaches. Drugs. 2010 Jul 9;70(10):1255-82. doi: 10.2165/10898570-000000000-00000. PMID: 20568833; PMCID: PMC7100688.
Boucher B. Formulary decisions: then and now. Pharmacotherapy. 2010; 30:35S-41S.
Devos E, Jacobson L. Approach to Adult Patients with Acute Dyspnea. Emerg Med Clin North Am. 2016 Feb;34(1):129-49. doi: 10.1016/j.emc.2015.08.008. PMID: 26614245; PMCID: PMC7126145.
Guttikonda, S.N.R., Vadapalli, K. Approach to undifferentiated dyspnea in emergency department: aids in rapid clinical decision-making. Int J Emerg Med 11, 21 (2018). https://doi.org/10.1186/s12245-018-0181-z
Han MK, Martinez FJ. Pharmacotherapeutic approaches to preventing acute exacerbations of chronic obstructive pulmonary disease. Proc Am Thorac Soc. 2011 Aug;8(4):356-62. doi: 10.1513/pats.201102-016RM. PMID: 21816992.
Herlitz J, Bång A, Omerovic E, Wireklint‐Sundström B. Is pre‐hospital treatment of chest pain optimal in acute coronary syndrome? The relief of both pain and anxiety is needed. Int J Cardiol. 2011; 149:147–151.
Marlowe KF ,Geiler R. Pharmacist’s role in dispensing opioids for acute and chronic pain. J Pharm Pract 2012; 255:497–502
Meloy P, Rutz DR, Bhambri A. Acute Chest Syndrome. J Educ Teach Emerg Med. 2023 Jan 31;8(1):O1-O23. doi: 10.21980/J80S8J. PMID: 37465032; PMCID: PMC10332774.
Pham T. Pharmacology and Therapeutics of Pain Medications: Part 1. Drug Topics. 2013; P: 42-54.
Tawfik, G.M., Dila, K.A.S., Mohamed, M.Y.F. et al. A step by step guide for conducting a systematic review and meta-analysis with simulation data. Trop Med Health 47, 46 (2019). https://doi.org/10.1186/s41182-019-0165-6
Telen MJ. Developing new pharmacotherapeutic approaches to treating sickle-cell disease. ISBT Sci Ser. 2017 Feb;12(1):239-247. doi: 10.1111/voxs.12305. Epub 2016 Nov 15. PMID: 28484512; PMCID: PMC5418585.