Med Student Medical News about Chest Pain Primary Health Care

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Chest pain in primary care: Epidemiology and pre-work-up probabilities
The European Journal of General Practice, 11/05/09

Bosner S et al. – The prevalence of chest pain among all attending patients was 0.7%. The majority (55.9%) of patients were women. Mean age was 59 (35–93) years. Of these patients, 53.2% had chest pains at the time of consultation and 29.6% presented with acute (<48 hours’ duration) chest pain. Pain originating from the chest wall was diagnosed in 46.6% of all patients, stable ischaemic heart disease (IHD) in 11.1%, and psychogenic disorders in 9.5%; 3.6% had acute coronary syndrome (ACS). The study adds important information about the epidemiology of chest pain as a frequent reason for consulting primary care practitioners. The authors provide updated pre–work–up probabilities for IHD for each age and sex category.

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