Key result
Stress management and biofeedback successfully treat a chest pain patient averaging ~20 monthly ER visits.
Why the study?
Does stress management training and biofeedback improve symptoms and reduce emergency room visits in a patient with chronic chest pain?
Case Report (n=1)
Does stress management training and biofeedback improve symptoms and reduce emergency room visits in a patient with chronic chest pain?
Stress management training and biofeedback can be an effective treatment for patients with chronic chest pain and frequent emergency room visits driven by psychological and physiological factors.
Should not yet change practice for recurrent chest pain; leaves open efficacy of multimodal behavioral therapy in controlled trials.
The successful treatment of a patient with chest pain who at baseline visited the emergency room (ER) up to 20 times monthly is described. Treatment consisted of re-education, stress management training and biofeedback. The importance of conceptualizing multiple ER visitations as an interaction of physiological, psychological, social and iatrogenic factors is discussed, and suggestions are made for recognizing such behavior and effectively referring patients for appropriate treatment.
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Schwartz et al. (1984) conducted a case report in Chest pain with frequent emergency room visits (n=1). Re-education, stress management training, and biofeedback was evaluated on Emergency room visits. Re-education, stress management training, and biofeedback successfully treated a patient with chest pain who previously visited the emergency room up to 20 times monthly.
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