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October 13, 2017Vojnosanitetski pregledOpen Access

Psychological characteristics in patients with non-cardiac chest pain

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Key result

A 1-point anxiety increase links to ~25% higher odds of non-cardiac chest pain versus coronary disease.

  • OR 1.25
  • 95% CI 1.10-1.41
  • n=85

Why the study?

Psychological characteristics of patients with non-coronary chest pain and their differences compared to coronary patients were not well defined.

Comparison

Non-coronary chest pain patients vs coronary patients

Design

Case-control study

Authors

GNGordana NikolićGMGordana Mandić-GajićITI. Tasić

Discussion

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Overview

May support anxiety screening to differentiate chest pain etiology; leaves open whether modification alters outcomes.

Study Design

Type

Case-Control (n=85)

Structured PICO

P
Population
85 patients, including 40 with non-cardiac chest pain and 45 with coronary disease, evaluated for psychological symptoms and exposure to life events.
C
Comparator
Coronary patients (n=45)
O
Outcome
Psychological characteristics including psychiatric diagnosis (MINI), psychological symptoms (SCL-90R), exposure to life events (Holms & Rahe Scale), and levels of anxiety and depressiveness (Beck Anxiety and Depression Inventories)patient reported

Main Result

Odds Ratio: 1.25 (95% CI 1.1–1.41)

Patients with non-cardiac chest pain exhibit significantly higher levels of anxiety, distress, and exposure to negative life events compared to coronary patients, highlighting the importance of psychological assessment in this population.

Cite This Study

Nikolić et al. (2017) conducted a case-control in Non-cardiac chest pain (n=85). Higher anxiety score vs. Lower anxiety score was evaluated on Non-coronary chest pain (NCCP) (OR 1.25, 95% CI 1.10-1.41). A 1-point elevation in anxiety score was associated with a higher likelihood of having non-cardiac chest pain compared to coronary disease (OR 1.25; 95% CI 1.10-1.41).

synapsesocial.com/papers/6aadd7018ee7767afd873cb7https://doi.org/10.2298/vsp170516150n
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