Navigation Links
Noncardiac Chest Pain May Warrant More Management: Study

Patients should be screened and monitored for heart-related conditions, researchers say

SATURDAY, April 24 (HealthDay News) -- People discharged from the hospital with noncardiac (not heart-related) chest pain may require more aggressive cardiovascular risk management than they typically receive, a new study has found.

Noncardiac chest pain can be caused by a number of problems, including panic attack, musculoskeletal pain, gastroesophageal reflux disease (GERD) and esophageal hypersensitivity.

The study included 320 patients who were admitted to the hospital with what was believed to be unstable angina, evaluated and discharged with a diagnosis of noncardiac chest pain. After the initial diagnosis of noncardiac chest pain, 49 percent of patients were re-evaluated in the emergency department and 42 percent underwent repeated cardiology evaluations.

Only 15 percent of the patients had gastrointestinal (GI) consultations. Of those, 38 percent had esophagogastroduodenoscopy, 4 percent had manometry (13 tests) and 2 percent had pH probes (six probes), the study authors reported.

"Patients in this study received few GI consultations and underwent even fewer GI tests. Further study is needed to determine whether patients with noncardiac chest pain would benefit from more frequent GI consultations and more diverse use of GI testing modalities," study co-investigator Dr. Michael Leise, of the Mayo Clinic, said in a news release.

The study also found that patients with noncardiac chest pain didn't have a significantly higher overall rate of death than expected, but a substantial number of cardiac deaths occurred in these patients.

"We speculate that cardiac death in patients with noncardiac chest pain may relate to overlapping risk factors for GERD and coronary artery disease, including obesity, obstructive sleep apnea, diabetes mellitus and smoking," Leise said.

He said until more is known about cardiac death in patients with noncardiac chest pain, doctors should screen these patients for cardiac risk factors, such as high blood pressure, high cholesterol and diabetes, and aggressively manage these conditions.

The study is published in the April issue of Mayo Clinic Proceedings.

More information

The U.S. National Library of Medicine has more about chest pain.

-- Robert Preidt

SOURCE: Mayo Clinic, news release, April 20, 2010

Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Researchers successfully lower radiation dose associated with pediatric chest CT scans
2. Outcomes of patients dismissed from the hospital with non-cardiac chest pain
3. News briefs from the April issue of Chest
4. Chest X-rays can help predict which H1N1 patients are at greatest risk
5. Chest X-rays Can Help Predict Which H1N1 Patients Are at Greatest Risk
6. News briefs from the March issue of Chest
7. Kids Tai Chi Workout Premieres in Westchester, New York, March 2, 2010
8. Concentra, American Showa to Open Associates Health Center in Blanchester, Ohio
9. Quick Chest Pain Test Simplifies Discharge Decision
10. News briefs from the February issue of Chest
11. Medichest Launches Learning Search
Post Your Comments:
(Date:4/5/2020)... ... April 04, 2020 , ... ... conforming to the newly mandated federal reporting of COVID-19 testing that must be ... 29, 2020, Vice President Pence announced that all hospitals report data on COVID-19 ...
(Date:4/2/2020)... ... April 02, 2020 , ... LifeLearn Animal Health , ... announced the launch of the veterinary CE course COVID-19: What we know and ... subscribers. , “When it comes to COVID-19, it’s important for practices and pet owners ...
(Date:4/1/2020)... ... 02, 2020 , ... AAGL Gynecologic Surgeons host a global ... surgical safety practices in response to the COVID-19 crisis. , AAGL frontline ... New Orleans and Amsterdam University Medical Center in the Netherlands will discuss what ...
(Date:4/1/2020)... ... April 01, 2020 , ... Velocidy Bio ’s Dutch biotech ... NEXTGENPCR that decreases the testing time for SARS-CoV-2 to eight minutes, compared to ... size of a shoebox could perform a hundred and eighty (180) amplification runs a ...
(Date:3/30/2020)... ... March 30, 2020 , ... Frontline Public Safety Solutions ... In an effort to keep frontline officers and the public safe in the ... members while minimizing direct contact. They are also freeing up 911 lines for ...
Breaking Medicine News(10 mins):
(Date:4/7/2020)... ... 07, 2020 , ... A multinational consensus statement from the Fleischner Society on ... published today in the journals Radiology and Chest. , “We need ... statement was to offer guidance that is sensitive to these differences and applicable broadly,” ...
(Date:4/7/2020)... ... April 07, 2020 , ... Today RED ... to support businesses looking to quickly source healthcare supplies . Due to ... been sourcing goods internationally and making them available to U.S. businesses in a ...
(Date:4/5/2020)... Ariz. (PRWEB) , ... April 04, 2020 , ... ... Disorder Alliance (PMD Alliance) launches the “Cheer Call!” initiative, tasking ambassadors, support group ... the country. Living with or caring for someone with a movement disorder can ...
Breaking Medicine Technology: