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March 1, 1991The International Journal of Psychiatry in Medicine

Axis I Disorders in Er Patients with Atypical Chest Pain

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Why the study?

What is the prevalence of Axis I psychiatric disorders in patients presenting to the emergency room with atypical chest pain?

Population

35 subjects presenting to the emergency room with atypical chest pain

Design

Cohort

Follow-up

5 to 12 months

Authors

LWLawson R. WulsinUniversity of CincinnatiLALesley M. ArnoldUniversity of CincinnatiJHJames R. HillardUnited States Department of Veterans Affairs

Discussion

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Implication

Psychiatric evaluation may warrant consideration in ER atypical chest pain; leaves open whether intervention alters cardiac outcomes.

Structured PICO

What is the prevalence of Axis I psychiatric disorders in patients presenting to the emergency room with atypical chest pain?

P
Population
35 subjects presenting to the emergency room with atypical chest pain
O
Outcome
Prevalence of Axis I psychiatric diagnoses (including affective and anxiety disorders)

A high proportion of ER patients with atypical chest pain have underlying, often unrecognized, psychiatric conditions such as panic disorder and major depression.

Cite This Study

Wulsin et al. (1991) studied this question.

synapsesocial.com/papers/6a7083dea528af2d65c39614https://doi.org/10.2190/hfq4-j41n-6m1e-mbn3
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Atypical or Nonanginal Chest Pain1987 · 136 citations
  2. 2The patient with angina; symptoms and disability1973 · 48 citations
  3. 3Quality of Life in Panic Disorder1989 · 473 citations
  4. 4Utilization of Health and Mental Health Services1984 · 816 citations
  5. 5Depression in the medically ill: an overview1986 · 440 citations