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November 11, 2008Cardiology

Unexplained Chest Pain with Normal Coronary Arteriograms

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Key result

Unexplained chest pain with normal coronary arteries was associated with excellent cardiac prognosis over 49.3 months, with no cardiac deaths, one myocardial infarction, and half becoming pain-free.

Why the study?

What are the long-term clinical outcomes and prognosis in patients with unexplained chest pain and normal coronary arteries?

Population

142 consecutive patients with unexplained chest pain and normal coronary arteries

Design

Cohort

Follow-up

mean 49.3 +/- 13.1 months

Authors

ADA. Van DorpeUniversity of LiverpoolJPJan PiessensGoethe University FrankfurtJWJos L. WillemsUnited States Department of Veterans Affairs

Discussion

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Implication

Reassures on low cardiac risk in unexplained chest pain; extends observational data but leaves optimal noncardiac management open.

Study Design

Type

Cohort (n=142)

Structured PICO

What are the long-term clinical outcomes and prognosis in patients with unexplained chest pain and normal coronary arteries?

P
Population
142 consecutive patients with unexplained chest pain and normal coronary arteries followed for a mean of 49.3 months.
O
Outcome
Cardiac deaths, myocardial infarction, and persistence of pain

Patients with unexplained chest pain and normal coronary arteries have an excellent cardiac prognosis, though noncardiac morbidity and persistent pain remain common.

Cite This Study

Dorpe et al. (2008) conducted a cohort in Unexplained chest pain with normal coronary arteries (n=142). Unexplained chest pain with normal coronary arteries was evaluated on Cardiac deaths and myocardial infarction. Unexplained chest pain with normal coronary arteries was associated with excellent cardiac prognosis over 49.3 months, with no cardiac deaths, one myocardial infarction, and half becoming pain-free.

synapsesocial.com/papers/6a9ea198014e095924aaf48ehttps://doi.org/10.1159/000174236
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Also Consider

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

  1. 1Long‐term clinical course of patients with angina and angiographically normal coronary arteries1991 · 41 citations
  2. 2Cardiac pain at rest. Management and follow-up of 100 consecutive cases.1981 · 6 citations
  3. 3Chest pain: is the history useful?2000 · 1 citations
  4. 4Long-term prognosis of patients with anginalike chest pain and normal coronary angiographic findings1995 · 169 citations
  5. 5Psychosocial outcome and use of medical resources in patients with chest pain and normal or near-normal coronary arteries: a long-term follow-up study1993 · 108 citations