Diagnosis of non-cardiac chest pain at a Rapid Access Chest Pain Clinic left nearly half of 161 surveyed patients with ongoing chest pain and >50% unconvinced by their diagnosis at 8 months.
Cohort (n=235)
No
Many patients discharged from rapid access chest pain clinics with non-cardiac diagnoses continue to experience pain and remain unconvinced by their diagnosis, indicating a need for improved patient communication and support.
Background. Rapid Access Chest Pain Clinics have recently been introduced to assist in the management of primary care patients experiencing suspected cardiac chest pain. Objective. To study the longer term outcome for patients referred to a Rapid Access Chest Pain Clinic and then given a non-cardiac diagnosis. Methods. The study collected retrospective data from a cohort of all patients attending the Rapid Access Chest Pain Clinic based in the cardiorespiratory Department at the York District Hospital, England. Questionnaires were sent to all patients who attended the Rapid Access Chest Pain Clinic during the previous 14 months and were diagnosed with non-cardiac chest pain. Participants reported on their chest pain, subsequent episodes of primary and secondary care and their beliefs about causation of pain. Results. Of the patients referred to the Rapid Access Chest Pain Clinic, 235 (52%) did not have cardiac chest pain. Of these patients, 161 (69%) returned the questionnaire, nearly half of whom reported ongoing chest pain. The mean time since Clinic attendance was approximately 8 months and the median duration of ongoing chest pain was 5.4 months. Women were twice as likely as men to continue to be experiencing pain but did not report more frequent or severe pain on average. More than 50% of the non-cardiac group were not convinced by their negative cardiac diagnosis. Conclusion. There is an ongoing challenge to support patients with non-cardiac chest pain, including the provision of reassurance that their pain is very unlikely to be caused by their heart.
Dumville et al. (Mon,) conducted a cohort in Non-cardiac chest pain (n=235). Rapid Access Chest Pain Clinic evaluation was evaluated on Ongoing chest pain and beliefs about causation of pain. Diagnosis of non-cardiac chest pain at a Rapid Access Chest Pain Clinic left nearly half of 161 surveyed patients with ongoing chest pain and >50% unconvinced by their diagnosis at 8 months.