Key result
Rheumatological examination of 50 patients with chronic non-cardiac chest pain identified musculoskeletal causes, with 40% of patients presenting with left-sided chest pain.
Why the study?
Many patients with non-diagnosed chest pain after a normal cardiac evaluation continue to have residual pain, making it important to highlight musculoskeletal differential diagnoses.
What are the common musculoskeletal diagnoses in patients with chronic non-cardiac chest pain?
Observational (n=50)
What are the common musculoskeletal diagnoses in patients with chronic non-cardiac chest pain?
Musculoskeletal conditions are a common and important differential diagnosis for patients with chronic chest pain and normal cardiac evaluations.
Encourages musculoskeletal evaluation in unexplained chest pain to reduce anxiety; leaves open prospective validation of diagnostic yield and outcomes.
Background: Three quarters of patients with non-diagnosed chest pain after a normal cardiac evaluation continue to complain from residual pain. By careful history taking and physical examination, number of those patient diagnosed to have musculoskeletal pain. The proper management will help to reduce the socio-economic consequences due to fear and anxiety of undiagnosed coronary artery diseases. Aim: To highlight one of the other differential diagnoses of ischemic chest pain. Patients and Method: Fifty patients with chest pain were involved. All these patient had chronic chest pain and normal all cardiac evaluations. These patients were examined by rheumatologist to reach the final diagnosis. Results: The mean age was 46.6±14 standard deviation. About 40% of the patients were complained from left side chest pain. The final diagnosis was either muscular pain, shoulder problem, cervical radicular pain, costochondritis, or fibromyalgia. Conclusion: Musculoskeletal chest pain is not uncommon and an important differential diagnosis of chest pain for patients presented to cardiac clinic. After exclusion of cardiac causes, a high index of suspension and an appropriate approach is recommended to diagnose and treat these conditions to improve patients’ quality of life.
No takes yet. Share an insight, caveat, or question.
Assim et al. (2023) conducted an observational in Non-cardiac long-standing chest pain (n=50). Rheumatological examination was evaluated on Final musculoskeletal diagnosis. Rheumatological examination of 50 patients with chronic non-cardiac chest pain identified musculoskeletal causes, with 40% of patients presenting with left-sided chest pain.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: