Key result
Review outlines a practical primary care approach to evaluate medium to long-term chest pain post-CABG.
Why the study?
Recurrent or chronic chest pain after CABG is common and presents a diagnostic challenge in primary care requiring prompt investigation.
This article provides a practical approach for primary care physicians to evaluate and manage chest pain in patients who have previously undergone CABG.
May guide primary care evaluation of post-CABG chest pain; leaves open prospective validation before adoption.
### What you need to know Coronary artery bypass grafting (CABG) is increasingly common and accounts for over half of all adult cardiac surgeries globally.1 Over 16 000 operations were performed in the UK in 2015.2 Recurrent or chronic chest pain after CABG can be extremely worrying for the patient and affect their quality of life.3 In a prospective cohort study (183 patients), a third of patients reported chronic chest pain on movement and 17% reported chest pain at rest at one year after CABG.4 This presents a diagnostic challenge in primary care and requires prompt investigation.5 This article presents a practical approach for non-specialists to evaluate chest pain in patients after a CABG with a median sternotomy (see box 1). We focus on chest pain in the medium to long term after surgery, when the patient has been discharged from postoperative services and is under the care of their general practitioner in the community. The approach can be relevant in patients with post-sternotomy chest pain after …
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Gimpel et al. (2019) conducted a review in Chest pain after coronary artery bypass surgery. Primary care evaluation of chest pain was evaluated. This review presents a practical approach for primary care non-specialists to evaluate medium to long-term chest pain in patients after coronary artery bypass grafting with a median sternotomy.
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