Evidence map›Paper›PMID 26585188›Full record

ReviewDeutsches Arzteblatt international2015

The Interdisciplinary Management of Acute Chest Pain.

Raphael R Bruno, Norbert Donner-Banzhoff, Wolfgang Söllner, Thomas Frieling, Christian Müller, Michael Christ

Open access · greenAbstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Mondor's Disease: A Rare Cause of Chest Pain.European journal of case reports in internal medicine · 2020
    Article
  3. Article
  4. Article
  5. Non-Cardiac Chest Pain.Visceral medicine · 2018
    Review
  6. Article
  7. Article
  8. The Differential Diagnosis of Dyspnea.Deutsches Arzteblatt international · 2016
    Review
  9. Additional Support Necessary.Deutsches Arzteblatt international · 2016
    Article
  10. In Reply.Deutsches Arzteblatt international · 2016
    Article
  11. Dangerous Statements.Deutsches Arzteblatt international · 2016
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 4 countries.

Raphael R BrunoDepartment of Emergency and Intensive Care Medicine, Paracelsus Medical University, Nuernberg, Department of General Practice/Family Medicine, University of Marburg, Department of Psychosomatics and Psychotherapeutic Medicine, Paracelsus Medical University, Nuernberg, Department of Gastroenterology, Hepatology, Neurogastroenterology, Infectiology, Hematology and Oncology, HELIOS Hospital Krefeld, Department of Cardiology, University Hospital Basel, Switzerland.
Norbert Donner-Banzhoff
Wolfgang Söllner
Thomas Frieling
Christian Müller
Michael Christ
University Hospital of Basel · CHParacelsus Medical University · ATDr. A. Ramachandran's Diabetes Hospitals · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute chest pain of non-traumatic origin is a common reason for presentation to physician's offices and emergency rooms. Coronary heart disease is the cause in up to 25% of cases. Because acute chest pain, depending on its etiology, may be associated with a high risk of death, rapid, goal-oriented management is mandatory.

methodsThis review is based on pertinent articles and guidelines retrieved by a selective search in PubMed.

resultsHistory-taking, physical examination, and a 12-lead electrocardiogram (ECG) are the first steps in the differential diagnostic process and generally allow the identification of features signifying a high risk of lifethreatening illness. If the ECG reveals ST-segment elevation, cardiac catheterization is indicated. The timedependent measurement of highly sensitive troponin values is a reliable test for the diagnosis or exclusion of acute myocardial infarction. A wide variety of other potential causes (e.g., vascular, musculoskeletal, gastroenterologic, or psychosomatic) must be identified from the history if they are to be treated appropriately. Elderly patients need special attention.

conclusionAcute chest pain is a major diagnostic challenge for the physician. Common errors are traceable to non-recognition of important causes and to an inadequate diagnostic work-up. Future studies should be designed to help optimize the interdisciplinary management of patients with chest pain.

Indexed as

Acute DiseaseBiomarkersChest PainCoronary Artery DiseaseCritical CareDelivery of Health Care, IntegratedElectrocardiographyEvidence-Based MedicineHumansMedical History TakingPatient Care TeamThoracic DiseasesTroponin IBiomarkersTroponin I

Identifiers

PMID26585188
PMCPMC4660855
OpenAlexW2412494069

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.