Key result
Unspecified ED chest pain shows ~8% CAD rate and rare mortality at six months.
Why the study?
The 6-month outcomes of patients discharged from the emergency department with non-specific chest pain were not well characterized.
Observational (n=40)
No
A small proportion of patients discharged from the emergency department with non-specific chest pain subsequently experience significant cardiac events, highlighting the need for careful outpatient follow-up.
May indicate residual cardiac risk after ED discharge for nonspecific chest pain; hypothesis-generating and should not yet change practice.
Objective: The aim of this study is to evaluate 6-month fate of the patients who were discharged from the emergency department with the diagnosis of non-specific chest pain.MaterialsandMethods: Forty patients aged 18 and over admitted to medical faculty hospital, emergency department with the complaint of chest pain and discharged with the diagnosis of non-specific chest pain were included in the study.The patients were followed up via university and state hospital database for 6 months.The patients were also interviewed via telephone calls.Results: The mean age of the patients was 54.1±17.3years.Of the patients, 22 (55%) were male and 18 (45%) were female.Of the patients, 11 were diagnosed with non-specific chest pain, 1 (2.5%) panic attack and 3 (7.5%)coronary artery disease after the angiography.In six-month follow-up, 1 patient (2.5%) died at Aydın Atatürk State Hospital due to cardiac arrest.Conclusion: The management of patients with chest pain is a common and challenging clinical problem in the emergency department.With the early diagnosis and treatment after a careful evaluation, life-threatening diseases can be prevented and health care costs can be reduced.We are in the opinion that this group of patients should be further examined in outpatient clinics at the proper time after the discharge from the emergency department.Amaç: Çalışmamızda acil servisten non-spesifik göğüs ağrısı tanısıyla taburcu edilen hastaların 6 aylık akıbetlerinin değerlendirilmesi amaçlanmıştır.Gereç ve Yöntemler: Çalışmaya 1 ay süresince tıp fakültesi hastanesi acil servise göğüs ağrısı şikayeti ile başvuran on sekiz yaş üstü yapılan tetkik ve takip sonrası non-spesifik göğüs ağrısı tanısı ile taburcu olan 40 hasta alındı.Hastalar 6 ay süresince üniversite ve devlet hastaneleri veri tabanından takip edildi.Aynı zamanda telefon ile kendisi veya yakınından bilgi alındı.Bulgular: Çalışmaya dahil edilen 40 hastanın yaş ortalaması 54,1±17,3 yıldı.Hastaların 22'si (%55) erkek, 18'i (%45) kadındı.Hastaların 11 tanesi non-spesifik göğüs ağrısı ve 1 tanesi panik atak tanısı alırken 3 hastaya (%7,5) yapılan anjiyo sonrası koroner arter hastalığı tanısı konmuştur.Altı aylık takip sonucunda 1 hasta (%2,5) arrest olarak götürüldüğü Aydın Atatürk Devlet Hastanesi'nde eks olmuştur.Sonuç: Göğüs ağrısı yönetimi acil serviste en büyük zorluklardan biridir.
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Duman et al. (2017) conducted an observational in Non-specific chest pain (n=40). Discharge from emergency department with non-specific chest pain was evaluated on 6-month clinical outcomes including new diagnoses and mortality. During 6-month follow-up of 40 patients discharged from the ED with non-specific chest pain, 3 (7.5%) were diagnosed with coronary artery disease and 1 (2.5%) died due to cardiac arrest.
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