ArticlePakistan journal of medical sciences2013
Chest Pain as a presenting complaint in patients with acute myocardial infarction (AMI).
Article in Pakistan journal of medical sciences, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Cardiac cephalalgia-headache as an atypical presentation of ST-segment elevation myocardial infarction: a case report.BMC cardiovascular disorders · 2025Article
- Characterizing chest pain in patients with acute coronary syndrome at Vietnam National Heart Institute: a case-control study.The Journal of international medical research · 2024Article
- Article
- Awareness of Myocardial Infarction Symptoms and Risk Factors in Saudi Arabia: A Cross-Sectional Study.Cureus · 2023Article
- Implications of Activating the ANT2/mTOR/PGC-1α Feedback Loop: Insights into Mitochondria-Mediated Injury in Hypoxic Myocardial Cells.Current issues in molecular biology · 2023Article
- Clinical presentation and angiographic findings of acute myocardial infarction in young adults in Jazan region.BMC cardiovascular disorders · 2023Article
- Focused Chest Pain Assessment for Early Detection of Acute Coronary Syndrome: Development of a Cardiovascular Digital Health Intervention.Global heart · 2023Article
- Day of the Week Variation in Emergency Department Arrivals, Chest Pain, and Acute Myocardial Infarction Throughout 2016-2019.Journal of community hospital internal medicine perspectives · 2023Article
- A qualitative study of COVID-19 related reasons for delayed presentation of patients with chest pain during the COVID-19 pandemic.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Chest pain symptoms differences between diabetes mellitus and non-diabetes mellitus patients with acute coronary syndrome: A pilot study.Journal of public health research · 2021Article
- Article
- Risk Factors for Acute Renal Failure after Cardiac Catheterization Most Cited in the Literature: An Integrative Review.International journal of environmental research and public health · 2020Review
- Severity of Chest Pain among Acute Myocardial Infarction Patients with Diagonal Branch Vessel Disease: A Pilot Study.Cureus · 2019Article
- The Quality of Symptoms in Women and Men Presenting to the Emergency Department With Suspected Acute Coronary Syndrome.Journal of emergency nursing · 2019Article
- Non-Cardiac Chest Pain: A Review of Environmental Exposure-Associated Comorbidities and Biomarkers.EMJ. Gastroenterology · 2018Article
- The associations between psychological distress and healthcare use in patients with non-cardiac chest pain: does a history of cardiac disease matter?BMC psychiatry · 2018Article
- Acute chest pain fast track at the emergency department: who was misdiagnosed for acute coronary syndrome?Open access emergency medicine : OAEM · 2016Article
- Characteristics of chest pain and its acute management in a low-middle income country: analysis of emergency department surveillance data from Pakistan.BMC emergency medicine · 2015Article
- Time to shift from contemporary to high-sensitivity cardiac troponin in diagnosis of acute coronary syndromes.Indian heart journalReview
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4 authors.
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Abstract
objectiveTo study various characteristics of chest pain in acute myocardial infarction patients. METHODOLOGY: A total of 331 patients of AMI admitted at Cardiology unit Nishtar Hospital Multan and Chaudhry Pervez Elahi Institute of Cardiology Multan, irrespective of the age and gender, were included in this study. The study duration was one year starting from June 2011 to June 2012. Non-probability purposive sampling technique was used in this descriptive study. Informed consent to participate in this study was taken. Data were entered and analyzed using SPSS-11.
resultsA total number of 331 patients with AMI were included in the study. Mean age was 54.99±11.25 years with minimum age 20 years and maximum age 90 years. It included 264(79.8%) male and 67(20.2%) female patients with male to female ratio of 3.9:1. Out of these 331 patients 308 (93.1%) patients reported chest pain as the presenting complaint. Remaining 23(6.9%) presented with clinical features other than chest pain. There were 127(38.4%) patients with pre-cordial chest pain, 115(34.7%) had retrosternal chest pain, 58(17.5%) were having epigastric pain. Severe chest pain was seen in 281(84.9%) patients while 26(7.9%) had only mild chest discomfort. Radiation of the pain to shoulder, neck and jaw was seen in 75 (22.7%) patients. In 42(12.7%) patients, pain radiated to both sides of chest. Another 55(16.6%) patients had pain radiation to chest, shoulder, upper arm and ulnar side of left forearm. Chest pain radiation to interscapular region along with both sides of chest was present in 10(3.0%) patients. In 11(3.3%) patients' pain radiated only to left side of chest. Pain persisting for >20 minutes was reported by 298 (90%) patients while only 10(3.1%) had pain persisting for <20 minutes.
conclusionThere is considerable overlap in chest pain of cardiac as well as non cardiac causes. However, vigilant evaluation of characteristics of chest pain in history taking may help to overcome this dilemma. Severe and prolonged precordial chest pain in a male patient between the age of 41-70 years, with pain radiation to left shoulder, neck and jaw is highly suggestive of AMI.
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