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Diagnosis and management of gastrointestinal causes of chest pain of uncertain origin
- Publication Year :
- 2002
- Publisher :
- Royal College of Physicians, 2002.
-
Abstract
- Recurrent central chest pain is a common clinical problem. Not surprisingly, most patients will want to know if the symptom arises from the heart and, if so, whether they are at risk of a sudden cardiac event. In general practice in the UK more than half such patients turn out not to have cardiac disease 1 , while about 10% of the more highly selected group who end up having diagnostic coronary angiography have no abnormality of the epicardial arteries. These patients have a low mortality, but up to 75% suffer persistent symptoms and a poor quality of life over long follow-up periods (2‐ 10 years) and 30‐ 50% of them never return to work and are unable to carry out household tasks. Many remain convinced that they have a cardiac disorder, even if an alternative diagnosis has been proposed, continuing to take cardiac medications and to use medical resources 1‐3 .
- Subjects :
- Cardiovascular event
Coronary angiography
medicine.medical_specialty
Chest Pain
business.industry
General Medicine
Disease
CME Gastroenterology
Central chest pain
Chest pain
Risk Assessment
Poor quality
Surgery
Cholelithiasis
medicine
Gastroesophageal Reflux
Humans
medicine.symptom
Abnormality
Intensive care medicine
business
Risk assessment
Deglutition Disorders
Letters to the Editor
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....0110eab2f15d3d8b77242ab7ba171f2f