ArticleHeart (British Cardiac Society)1997
Comparative study of chest pain characteristics in patients with normal and abnormal coronary angiograms.
Article in Heart (British Cardiac Society), 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Trial
- Myocardial Bridging as a Typical Cause of Chest Pain in a Psychiatric Patient: A Case Report.Cureus · 2025Article
- Biobehavioral approach to distinguishing panic symptoms from medical illness.Frontiers in psychiatry · 2024Review
- Predictors of severe stenosis at invasive coronary angiography in patients with normal myocardial perfusion imaging.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2018Article
- Non-Cardiac Chest Pain.Visceral medicine · 2018Review
- Chest pain in primary care: is the localization of pain diagnostically helpful in the critical evaluation of patients?--A cross sectional study.BMC family practice · 2013Article
- Development and validation of a clinical prediction rule for chest wall syndrome in primary care.BMC family practice · 2012Article
- Up-beat UK: a programme of research into the relationship between coronary heart disease and depression in primary care patients.BMC family practice · 2011Article
- The prevalence of angina symptoms and association with cardiovascular risk factors, among rural, urban and rural to urban migrant populations in Peru.BMC cardiovascular disorders · 2010Article
- Accuracy of symptoms and signs for coronary heart disease assessed in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Chest wall syndrome among primary care patients: a cohort study.BMC family practice · 2007Article
- Investigation and management of chest pain.Heart (British Cardiac Society) · 2005Review
- Recent developments in chest pain of undetermined origin.Current gastroenterology reports · 2000Review
- Review
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo improve the characterisation of chest pain by comparing symptoms in patients with normal and abnormal coronary angiograms. STUDY
designProspective case-control study.
settingSingle tertiary cardiac referral centre. PATIENTS: 65 consecutive patients with chest pain and completely normal coronary angiograms recruited over a period of one year, and 65 sex matched patients with significant stenoses at angiography.
main outcome measuresStandardised chest pain questionnaires.
results61 of 65 patients (94%) and every control reported chest pain on exertion. There were no important differences in the site, quality, and radiation of pain but three symptoms had discriminatory value expressed in binary fashion ("typical" v "atypical"): the consistency with which pain was reproduced by exercise (typical, score index 10/10), the duration of pain episodes (typical, five minutes), and the frequency of pain at rest (typical, 10% all pain episodes). All three symptoms were atypical in 21 (32%) patients with normal coronary angiograms, but only one patient with an abnormal coronary angiogram. Patients with no typical features had a 2% chance of an abnormal coronary angiogram if aged under 55 years or 12% if aged 55 years or more. The additional impact of exercise stress testing was low.
conclusionsChest pain characteristics which separate patients with normal coronary angiograms from patients with obstructive coronary heart disease can be defined objectively. This may allow improvements in referral patterns for specialist opinion or angiography, and in characterisation of patients in research studies.
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