Clinical Profile of Patients Presenting with Chest Pain to Emergency Department

Journal Title: Indian Journal of Emergency Medicine - Year 2018, Vol 4, Issue 3

Abstract

Background: Chest pain may be a symptom of a number of serious conditions and generally considered as a medical emergency. In ER the typical approach to chest pain involves ruling out the most dangerous cause and elimination or confirmation of the most serious cause, a diagnosis of the origin of the pain may be made. Objective: To study clinical profile of patients presenting with chest pain in emergency department. Method: This prospective observational study was performed on 71 patients who had presented with chest pain in emergency department of a tertiary care hospital in south India, Amrita Institute of Medical Sciences and Research Centre (Kochi). Results: In all 71 patients included in the study, the cause of chest pain was reliably determined. There was 57 (95%) males and 14 (5%) females included in the study. The median values are as follows age group (60), Heart rate (74), Mean Arterial Pressure (100), Oxygen saturation (98), Respiratory rate (20), Temperature (98) and Random blood sugar (98). Conclusions: In the 71 patients, the major cause of chest pain was cardiac in origin in 52 patients (73%) and remaining were non cardiac causes in 19 patients (27%). Among cardiac causes, ACS was found as the major cause of chest pain in 31 patients (43%) followed by other cardiac causes in 21 patients (30%).

Authors and Affiliations

Stephin Paul

Keywords

Related Articles

Study on Clinical Profile of Pulmonary Embolism

Background: Pulmonary thromboembolism (PTE) is a major health problem with significant mortality and morbidity. Although rapid advances have taken place in the diagnosis and management of VTE, PE is still an underreporte...

Recurrent Cough Induced Internal Oblique Hematoma

Background: Abdominal wall hematomas are an uncommon cause of acute abdominal pain and are often misdiagnosed as intra-abdominal pathologies. Elderly individuals and those on anticoagulation are more prone. Rectus sheath...

Clinical Profile of Idiopathic Focal Segmental Glomerulosclerosis

Background: The cause of idiopathic focal segmental glomerulosclerosis is usually not known. Most of the patients present with primary type. The main clinical feature of FSGS is nephrotic syndrome. It causes about 10 to...

Chronic Ulcerative Eyelid Lesion: A Rare Manifestation of Tuberculosis

Any organ system in the body can be affected by tuberculosis. While pulmonary tuberculosis is the most common presentation, extrapulmonary tuberculosis including ocular tuberculosis is also an important clinical problem....

An Unusual Presentation of an Unprovoked Pulmonary Embolism; Diagnostic Challenges in the Emergency Department

Pulmonary embolism is a life-threatening condition and in most cases the presentation is typical with h/o pleuritic chest pain, breathlessness and h/o prolonged immobilization. However unusual presentations are not very...

Download PDF file
  • EP ID EP553084
  • DOI 10.21088/ijem.2395.311X.4318.18
  • Views 93
  • Downloads 0

How To Cite

Stephin Paul (2018). Clinical Profile of Patients Presenting with Chest Pain to Emergency Department. Indian Journal of Emergency Medicine, 4(3), 211-215. https://europub.co.uk/articles/-A-553084