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Forschungsdatenbank PMU-SQQUID

Chest pain in primary care: epidemiology and pre-work-up probabilities.
Bösner, S; Becker, A; Haasenritter, J; Abu Hani, M; Keller, H; Sönnichsen, AC; Karatolios, K; Schaefer, JR; Seitz, G; Baum, E; Donner-Banzhoff, N;
Eur J Gen Pract. 2009; 15(3): 141-146.
Originalarbeiten (Zeitschrift)


Sönnichsen Andreas


Background/objective: Chest pain is a common complaint and reason for consultation. We aimed to study the epidemiology of chest pain with respect to underlying aetiologies and to establish pre-work-up probabilities for the primary care setting. Methods: We included 1212 consecutive patients with chest pain, aged 35 years and older, attending 74 general practitioners (GPs). GPs recorded symptoms and findings of each patient and provided follow-up information. An independent interdisciplinary reference panel reviewed clinical data of every patient and decided on the aetiology of chest pain at the time of patient recruitment. Results: The prevalence of chest pain among all attending patients was 0.7%. The majority (55.9%) of patients were women. Mean age was 59 (35-93) years. Of these patients, 53.2% had chest pains at the time of consultation and 29.6% presented with acute (<48 hoursxxx duration) chest pain. Pain originating from the chest wall was diagnosed in 46.6% of all patients, stable ischaemic heart disease (IHD) in 11.1%, and psychogenic disorders in 9.5%; 3.6% had acute coronary syndrome (ACS). Conclusion: The study adds important information about the epidemiology of chest pain as a frequent reason for consulting primary care practitioners. We provide updated pre-work-up probabilities for IHD for each age and sex category.

Useful keywords (using NLM MeSH Indexing)



Aged, 80 and over

Chest Pain/diagnosis

Chest Pain/epidemiology*

Chest Pain/etiology

Cross-Sectional Studies

Diagnosis, Differential*

Family Practice





Middle Aged

Primary Health Care*

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