Chest pain natural history, complications and prognosis: Difference between revisions

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==Overview==
==Overview==
Common complications of chest pain include [[arrythmia]], [[heart failure]] and Death. Depending on the etiology at the time of presentation, the prognosis may vary. However, the prognosis is generally regarded as good with a 1-year mortality rate of approximately 0.7%
Common [[complications]] of chest pain include [[arrythmia]], [[heart failure]] and Death. Depending on the etiology at the time of presentation, the [[prognosis]] may vary. However, the [[prognosis]] is generally regarded as good.
==Complications, and Prognosis==
==Complications, and Prognosis==


===Complications===
===Complications===


*Common complications of chest pain include:
*Common [[complications]] of chest pain include:
**[[Arrythmia]]
**[[Arrythmia]]
**[[Heart failure]]
**[[Heart failure]]
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===Prognosis===
===Prognosis===


*Prognosis is generally good, 1-year mortality rate of patients presenting with chest pain is approximately 0.7%<ref name="pmid29275346">{{cite journal |vauthors=Ilangkovan N, Mickley H, Diederichsen A, Lassen A, Sørensen TL, Sheta HM, Stæhr PB, Mogensen CB |title=Clinical features and prognosis of patients with acute non-specific chest pain in emergency and cardiology departments after the introduction of high-sensitivity troponins: a prospective cohort study |journal=BMJ Open |volume=7 |issue=12 |pages=e018636 |date=December 2017 |pmid=29275346 |pmc=5770919 |doi=10.1136/bmjopen-2017-018636 |url=}}</ref>.
*[[Prognosis]] is generally good. <ref name="pmid29275346">{{cite journal |vauthors=Ilangkovan N, Mickley H, Diederichsen A, Lassen A, Sørensen TL, Sheta HM, Stæhr PB, Mogensen CB |title=Clinical features and prognosis of patients with acute non-specific chest pain in emergency and cardiology departments after the introduction of high-sensitivity troponins: a prospective cohort study |journal=BMJ Open |volume=7 |issue=12 |pages=e018636 |date=December 2017 |pmid=29275346 |pmc=5770919 |doi=10.1136/bmjopen-2017-018636 |url=}}</ref>
*Depending on the etiology at the time of presentation, the prognosis may vary. However, the prognosis is generally regarded as good.
*Depending on the etiology at the time of presentation, the prognosis may vary. However, the [[prognosis]] is generally regarded as good.
*The presence of aortic dissection is associated with a particularly poor prognosis among patients presenting with chest pain with a 1-year mortality rate of 90%<ref name="urlAortic Dissection - Cardiovascular Disorders - MSD Manual Professional Edition">{{cite web |url=+https://www.msdmanuals.com/professional/cardiovascular-disorders/diseases-of-the-aorta-and-its-branches/aortic-dissection#:~:text=About%2020%25%20of%20patients%20with%20aortic%20dissection%20die%20before%20reaching,dissection%20and%2010%25%20for%20distal. |title=Aortic Dissection - Cardiovascular Disorders - MSD Manual Professional Edition |format= |work= |accessdate=}}</ref>.
*The 1-year mortality rate of patients with non-cardiac chest pain was found to be 2.3% compared with 7.2% in patients presenting with cardiac chest pain<ref name="urlNon-cardiac chest pain: prognosis and secondary healthcare utilisation | Open Heart">{{cite web |url=https://openheart.bmj.com/content/5/2/e000859#:~:text=Results%20More%20than%2060%25%20of,respectively%20(p%3D0.026). |title=Non-cardiac chest pain: prognosis and secondary healthcare utilisation &#124; Open Heart |format= |work= |accessdate=}}</ref>.


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


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[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]

Revision as of 18:48, 10 February 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2]

Overview

Common complications of chest pain include arrythmia, heart failure and Death. Depending on the etiology at the time of presentation, the prognosis may vary. However, the prognosis is generally regarded as good.

Complications, and Prognosis

Complications

Prognosis

  • Prognosis is generally good. [1]
  • Depending on the etiology at the time of presentation, the prognosis may vary. However, the prognosis is generally regarded as good.

References

  1. Ilangkovan N, Mickley H, Diederichsen A, Lassen A, Sørensen TL, Sheta HM, Stæhr PB, Mogensen CB (December 2017). "Clinical features and prognosis of patients with acute non-specific chest pain in emergency and cardiology departments after the introduction of high-sensitivity troponins: a prospective cohort study". BMJ Open. 7 (12): e018636. doi:10.1136/bmjopen-2017-018636. PMC 5770919. PMID 29275346.