Archive \ Volume.12 2021 Issue 4

An Overview on Chest Pain Diagnostic Approach in Primary Health Care Centre

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Abstract

Chest pain can be a diagnostic challenge in medical practice. Noncardiac causes are prevalent, yet it is significant not to miss critical presentations such as acute coronary syndrome, pulmonary embolism, and tension pneumothorax. Nonthreatening etiologies of chest pain that should be considered include pneumonia, gastric reflux, and costochondritis. Patients with exertional chest pain and electrocardiographic abnormalities should undergo cardiac stress testing and cardiac enzymes measurement. A systematic approach to evaluate chest pain will result in an appropriate diagnosis and treatment plan. The objective of this review is to discuss chest pain different presentations and management plans with the outcome. PubMed database was used for articles selection, and the following keys were used in the mesh ((“Chest pain"[Mesh]) AND (“assessment”[Mesh]) OR (“Management"[Mesh])). In regards to the inclusion criteria, the articles were selected based on the inclusion of one of the following topics: chest pain, non-invasive assessment. Exclusion criteria were all other articles, which did not have one of these topics as their primary endpoint. Chest pain is a very common presentation. The earlier the diagnosis and treatment, the better the outcomes, and the more likely that serious life-threatening conditions would be ruled out.



How to cite:
Vancouver
Aljaiban AF, Alharbi FOB, Al Audah MS, Alshehri HHH, Almousaedi IH, Abdulaziz GA, et al. An Overview on Chest Pain Diagnostic Approach in Primary Health Care Centre. Arch Pharm Pract. 2021;12(4):65-8. https://doi.org/10.51847/quGut8KI8v
APA
Aljaiban, A. F., Alharbi, F. O. B., Al Audah, M. S., Alshehri, H. H. H., Almousaedi, I. H., Abdulaziz, G. A., Almalki, A. M. M., Alharthi, M. M., Aljebreen, A. M., Boudal, E. A., et al. (2021). An Overview on Chest Pain Diagnostic Approach in Primary Health Care Centre. Archives of Pharmacy Practice, 12(4), 65-68. https://doi.org/10.51847/quGut8KI8v

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References

1.        Pozen MW, D'Agostino RB, Selker HP, Sytkowski PA, Hood WB, Jr. A predictive instrument to improve coronary-care-unit admission practices in acute ischemic heart disease. A prospective multicenter clinical trial. N Engl J Med. 1984;310(20):1273-8.

2.        Bösner S, Becker A, Haasenritter J, Abu Hani M, Keller H, Sönnichsen AC, et al. Chest pain in primary care: epidemiology and pre-work-up probabilities. Eur J Gen Pract. 2009;15(3):141-6.

3.        Rusnak RA, Stair TO, Hansen K, Fastow JS. Litigation against the emergency physician: common features in cases of missed myocardial infarction. Ann Emerg Med. 1989;18(10):1029-34.

4.        Jänig W. Neurobiology of visceral pain. Schmerz (Berlin, Germany). 2014;28(3):233-51.

5.        Fruergaard P, Launbjerg J, Hesse B, Jørgensen F, Petri A, Eiken P, et al. The diagnoses of patients admitted with acute chest pain but without myocardial infarction. Eur Heart J. 1996;17(7):1028-34.

6.        Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. Jama. 2005;294(20):2623-9.

7.        Dezman ZD, Mattu A, Body R. Utility of the History and Physical Examination in the Detection of Acute Coronary Syndromes in Emergency Department Patients. West J Emerg Med. 2017;18(4):752-60.

8.        Shiber JR, Fontane E, Ra JH, Kerwin AJ. Hydropneumothorax Due to Esophageal Rupture. J Emerg Med. 2017;52(6):856-8.

9.        de Bliek EC. ST-elevation: Differential diagnosis and caveats. A comprehensive review to help distinguish ST-elevation myocardial infarction from nonischemic etiologies of ST elevation. Turk J Emerg Med. 2018;18(1):1-10.

10.      Solhpour A, Chang KW, Arain SA, Balan P, Zhao Y, Loghin C, et al. Comparison of 30-day mortality and myocardial scar indices for patients treated with prehospital reduced dose fibrinolytic followed by percutaneous coronary intervention versus percutaneous coronary intervention alone for treatment of ST-elevation myocardial infarction. Catheter Cardiovasc Interv. 2016;88(5):709-15.

11.      Meyer G. Effective diagnosis and treatment of pulmonary embolism: Improving patient outcomes. Arch Cardiovasc Dis. 2014;107(6-7):406-14.

12.      Habibi B, Achachi L, Hayoun S, Raoufi M, Herrak L, Ftouh ME. Management of spontaneous pneumothorax: about 138 cases. Pan Afr Med J. 2017;26:152.

13.      Shokoohi H, Boniface KS, Zaragoza M, Pourmand A, Earls JP. Point-of-care ultrasound leads to diagnostic shifts in patients with undifferentiated hypotension. Am J Emerg Med. 2017;35(12):1984-e3.

14.      Zhao DL, Liu XD, Zhao CL, Zhou HT, Wang GK, Liang HW, et al. Multislice spiral CT angiography for evaluation of acute aortic syndrome. Echocardiography (Mount Kisco, NY). 2017;34(10):1495-9.


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