Causes of chest pain in primary care: a review

Alharthi, Raed; Howladar, Fatimah; Alzahrani, Abdullah; Babader, Eman; Alazwari, Amjed; Alzaidi, Salman; Qurashi, Asawir

doi:10.24911/ijmdc.51-1575583489

Cited by 1 publication

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“…Chest pain is a highly prevalent symptom that frequently brings patients to the emergency department (ED) [1]. In fact, up to 25% of the general population may experience chest pain in various forms throughout their lives [2]. Although chest pain can be a manifestation of several different medical conditions, it is crucial to distinguish between cardiac and non-cardiac causes, as the latter can range from musculoskeletal issues to potentially severe emergencies such as acute coronary syndrome (ACS) [3].…”

Section: Introductionmentioning

confidence: 99%

Assessing Chest Pain Management and Outcomes in Percutaneous Coronary Intervention Patients: A Retrospective Analysis in Saudi Arabian Emergency Departments

Alrougi,

Al Thobaity

2023

Preprint

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This study aimed to investigate the characteristics and outcomes of patients who underwent per-cutaneous coronary intervention (PCI) and visited an emergency department (ED) with chest pain in Saudi Arabia. A retrospective analysis of patient data was conducted, focusing on demographics, risk factors, pain assessment, triage, diagnostic testing, and management. The results revealed a young adult population (40-59 years old) at risk for coronary heart disease (CHD), highlighting the need for increased awareness and education. Gender differences in cardiovascular disease (CVD) presentation and underdiagnoses in women also require attention for effective prevention and treatment. Accurate pain assessment during triage was found to be essential to prevent mistriage and negative patient outcomes. Chest pain and shortness of breath were common symptoms, emphasizing the importance of recognizing acute myocardial infarction (AMI) symptoms for proper triage, diagnostic testing, and prompt treatment. The study identified modifiable CVD risk factors, including diabetes (51.1%), hypertension (43.8%), and smoking (25.9%), stressing the importance of lifestyle modifications to reduce CVD risk. Saudi Arabia faces significant challenges in addressing cardiovascular disorders, but efforts to improve healthcare access and establish specialized centers are promising. In conclusion, this study underscores the need for increased awareness of CHD among young adults, accurate pain assessment during triage, and lifestyle modifications to address modifiable CVD risk factors. Furthermore, healthcare teams must stay updated on new chest pain guidelines in the ED and prioritize early detection of implicated arteries and prompt reperfusion. Further research investigating chest pain patient triage and assessments across Saudi Arabia is recommended to identify areas of improvement and implement necessary changes in clinical practice.

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Section: Introductionmentioning

confidence: 99%