Identifying Chest Pain Emergencies in the Primary Care Setting

Primary Care - Clinics in Office Practice

Volumn 33, Issue 3, 2006, Pages 625-642

  Winters, Michael E ^a,b   Katzen, Scott M ^b  

^a UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF MARYLAND MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACETYLSALICYLIC ACID; ANTIBIOTIC AGENT; ANTIINFLAMMATORY AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; D DIMER; GLYCERYL TRINITRATE; LABETALOL; LOW MOLECULAR WEIGHT HEPARIN; NITROPRUSSIDE SODIUM; NONSTEROID ANTIINFLAMMATORY AGENT; SILDENAFIL; VASODILATOR AGENT;

ACUTE CORONARY SYNDROME; ACUTE HEART INFARCTION; AORTA ARCH SYNDROME; AORTA COARCTATION; AORTA DISSECTION; AORTOGRAPHY; CARDIOGENIC SHOCK; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; CONGESTIVE HEART FAILURE; CONNECTIVE TISSUE DISEASE; DIAGNOSTIC IMAGING; DIFFERENTIAL DIAGNOSIS; ELECTROCARDIOGRAM; ENZYME LINKED IMMUNOSORBENT ASSAY; ESOPHAGUS PERFORATION; GIANT CELL ARTERITIS; HEART TAMPONADE; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; HYPERLIPIDEMIA; LUNG EMBOLISM; NUCLEAR MAGNETIC RESONANCE IMAGING; PERICARDITIS; PHYSICAL EXAMINATION; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; REVIEW; RHEUMATOID ARTHRITIS; RISK FACTOR; SMOKING; ST SEGMENT ELEVATION; SYSTEMIC LUPUS ERYTHEMATOSUS; THORAX PAIN; THORAX RADIOGRAPHY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; VEIN THROMBOSIS;

ANEURYSM, DISSECTING; AORTIC ANEURYSM; CARDIOVASCULAR DISEASES; CHEST PAIN; CORONARY ARTERIOSCLEROSIS; ELECTROCARDIOGRAPHY; EMERGENCIES; ESOPHAGEAL PERFORATION; HUMANS; PERICARDITIS; PHYSICAL EXAMINATION; PRIMARY HEALTH CARE; PULMONARY EMBOLISM; RISK FACTORS;

EID: 33750577941     PISSN: 00954543     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.pop.2006.06.006     Document Type: Review

References (83)

1. Woodwell D.A. National ambulatory medical care survey: 1998 summary. Adv Data 19 (2000) 1-26
2. Klinkman M.S., Stevens D., and Gorenflo D.W. Episodes of care for chest pain: a preliminary report from MIRNET. Michigan Research Network. J Fam Pract 38 (1994) 345-352
3. Callans D.J. Out-of-hospital cardiac arrest-the solution is shocking. N Engl J Med 351 7 (2004) 632-634
4. Clinical performance measures: chronic stable coronary artery disease. American College of Cardiology, American Heart Association, Physician Consortium for Performance Improvement. Available at: www.acc.org/clinical/measures/CAD/cadmeasures.pdf. Accessed: December 1, 2005.
5. Lee T.H., and Goldman L. Evaluation of the patient with acute chest pain. N Engl J Med 342 16 (2000) 1187-1195
6. Lee T.H., Rouan G.W., Weisberg M.C., et al. Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency department. Am J Cardiol 60 (1987) 219-224
7. Panju A.A., Hemmelgarn B.R., Guyatt G.H., et al. Is this patient having a myocardial infarction?. JAMA 280 14 (1998) 1256-1263
8. Meisel JL. Diagnostic approach to chest pain in adults. Availabale at: ===http://www.utdol.com/utd/content/topic.do?topickey=pri_card/2346& type=A&selectedTitle=1∼88. Accessed December 2005.
9. Brieger D., Eagle K.A., Goodman S.G., et al. Acute coronary syndromes without chest pain, an underdiagnosed and undertreated high-risk group. Insights from the Global Registry of Acute Coronary Events. Chest 126 (2004) 461-469
10. Berger J.P., Buclin T., Haller E., et al. Right arm involvement and pain extension can help to differentiate coronary diseases from chest pain of other origin: a prospective emergency ward study of 278 consecutive patients admitted for chest pain. J Intern Med 227 (1990) 165-172
11. Berlinerblau R., and Shani J. Postprandial angina pectoris: clinical and angiographic correlations. J Am Coll Cardiol 23 (1994) 627-629
12. Castrina F.P. Unexplained noncardiac chest pain. Ann Intern Med 126 (1997) 663-664
13. Mattu A., Petrini J., Swencki S., et al. Premature atherosclerosis and acute coronary syndrome in systemic lupus erythematosus. Am J Emerg Med 23 (2005) 696-703
14. Karrar A., Sequiera W., and Block J.A. Coronary artery disease in systemic lupus erythematosus: a review of the literature. Semin Arthritis Rheum 30 (2001) 436-443
15. Chung C.P., Oeser A., Raggi P., et al. Increased coronary-artery atherosclerosis in rheumatoid arthritis. Arthritis Rheum 52 10 (2005) 3045-3053
16. Passalaris J.D., Sepkowitz K.A., and Glesby M.J. Coronary artery disease and human immunodeficiency virus infection. Clin Infect Dis 31 (2000) 787-797
17. Aufderheide T.P., and Gibler W.B. Acute ischemic coronary syndromes. In: Rosen P., and Barkin R. (Eds). Emergency medicine concepts and clinical practice. 4th edition (1998), Mosby, St. Louis (MO) 1655-1716
18. Masud S.P., and Mackenzie R. Acute coronary syndrome. J R Army Med Corps 149 4 (2003) 303-310
19. Norell M., Lythall D., Coghlan G., et al. Limited value of the resting electrocardiogram in assessing patients with recent onset chest pain: Lessons from a chest pain clinic. Br Heart J 67 1 (1992) 53-56
20. National Center for Health Statistics. Vital statistics of the United States, 2000. Available at: http://wonder.cdc.gov/wonder/sci_data/mort/mcmort/type_txt/mcmo rt03/techap99.pdf. Accessed December 1, 2005.
21. Khan I.A., and Nair C.K. Clinical, diagnostic, and management perspectives of aortic dissection. Chest 122 1 (2002) 311-328
22. Hagan P.G., Nienaber C.A., Isselbacher E.M., et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA 283 (2000) 897-903
23. Eisenberg M.J., Rice S.A., Paraschos A., et al. The clinical spectrum of patients with aneurysms of the ascending aorta. Am Heart J 125 (1993) 1380-1385
24. Bickerstaff L.K., Pairolero P.C., Hoiler L.H., et al. Thoracic aortic aneurysms: a population based study. Surgery 92 (1982) 1103-1108
25. Rogers R.L., and McCormack R. Aortic disasters. Emerg Med Clin North Am 22 4 (2004) 887-908
26. Pitt M.P., and Bonser R.S. The natural history of thoracic aortic aneurysm disease: an overview. J Card Surg 12 (1997) 270-278
27. Nienaber C.A., and Eagle K.A. Aortic dissection: new frontiers in diagnosis and management: Part I: From etiology to diagnostic strategies. Circulation 108 5 (2003) 628-635
28. Haro L.H., Krajicek M., and Lobl J.K. Challenges, controversies, and advances in aortic catastrophes. Emerg Med Clin N Am 23 (2005) 1159-1177
29. Khan I.A. Clinical manifestations of aortic dissection. Journal of Clinical and Basic Cardiology 4 (2001) 265-267
30. Hennessy T.G., Smith D., McCann H.A., et al. Thoracic aortic dissection or aneurysm: clinical presentation, diagnostic imaging and initial management in a tertiary referral center. Ir J Med Sci 165 (1996) 259-262
31. Rahmatullah S.I., Khan I.A., Nair V.M., et al. Painless limited dissection of the ascending aorta presenting with aortic valve regurgitation. Am J Emerg Med 17 (1999) 700-701
32. Alverez Sabin J., Vazquez J., Sala A., et al. Neurologic manifestations of dissecting aneurysm of the aorta. Med Clin (Barc) 92 (1989) 447-449 [in Spanish]
33. Prendes J.L. Neurovascular syndromes in aortic dissection. Am Fam Physician 23 (1981) 175-179
34. Auer J., Berent R., and Eber B. Aortic dissection: incidence, natural history and impact of surgery. Journal of Clinical and Basic Cardiology 3 (2000) 151-154
35. Garcia-Jiminez A., Paraza-Torres A., Martinez-Lopez G., et al. Cardiac tamponade by aortic dissection in a hospital without cardiothoracic surgery. Chest 104 (1993) 290-291
36. von Kodolitsch Y., Schwartz A.G., and Nienaber C.A. Clinical prediction of acute aortic dissection. Arch Intern Med 160 (2000) 2977-2982
37. Higgins C.B. Modern imaging of the acute aortic syndrome. Am J Med 116 (2004) 134
38. Vignon P., Gueret P., Vedrinne J.M., et al. Role of transesophageal echocardiography in the diagnosis and management of traumatic aortic disruption. Circulation 92 (1995) 2959-2968
39. Laack T.A., and Goyal D.G. Pulmonary embolism: an unsuspected killer. Emerg Med Clin North Am 22 (2004) 961-983
40. Wells P.S., and Rodger M. Diagnosis of pulmonary embolism: when is imaging needed?. Clin Chest Med 24 (2003) 13-28
41. Gillum R.F. Pulmonary embolism in the United States, 1970-1985. Am Heart J 113 (1987) 1262-1264
42. Goldhaber S.Z., and Elliott C.G. Acute pulmonary embolism: Part I, epidemiology, pathophysiology, and diagnosis. Circulation 108 (2003) 2726-2729
43. Fedullo P.F., and Tapson V.F. The evaluation of suspected pulmonary embolism. N Engl J Med 349 (2003) 1247-1256
44. Dalen J.E., and Alpert J.S. Natural history of pulmonary embolism. Prog Cardiovasc Dis 17 (1975) 259-270
45. Morgenthaler T.I., and Ryu J.H. Clinical characteristics of fatal pulmonary embolism in a referral hospital. Mayo Clin Proc 70 (1995) 417-424
46. Boie E.T. Initial evaluation of chest pain. Emerg Med Clin North Am 23 (2005) 937-957
47. Calder K.K., Herbert M., and Henderson S.O. The mortality of untreated pulmonary embolism in emergency department patients. Ann Emerg Med 45 (2005) 302-310
48. Tapson V.F. Acute pulmonary embolism. Cardiol Clin 22 (2004) 353-365
49. Brilakis E.D., and Tajik A.J. 82-year old man with recurrent syncope. Mayo Clin Proc 74 (1999) 609-612
50. Bosomworth J. Diagnosing pulmonary embolism in a rural setting. Can J Rural Med 10 (2005) 100-106
51. Miniati M., Prediletto R., Fromichi B., et al. Accuracy of clinical assessment in the diagnosis of pulmonary embolism. Am J Respir Crit Care Med 159 (1999) 864-871
52. Susec O., Boudrow D., and Kline J.A. The clinical features of acute pulmonary embolism in ambulatory patients. Acad Emerg Med 4 (1997) 891-897
53. Sullivan D. Pulmonary embolism-medical error and risk reduction part I. Available at: www.thesullivangroup.com. Accessed December 5, 2005.
54. Colucciello S.A. Protocols for deep venous thrombosis: a state of the art review: Part I: Risk factor assessment, physical examination, and current diagnostic modalities. Emerg Med Rep (1999) 13-24
55. Morgenthaler T.I., and Ryu J.H. Clinical characteristics of fatal pulmonary embolism in a referral hospital. Mayo Clin Proc 70 (1995) 417-424
56. Green R.M., Meyer T.J., Dunn M., et al. Pulmonary embolism in younger adults. Chest 101 (1992) 1507-1511
57. Stein P.D., Afzal A., Henry J.W., et al. Fever in acute pulmonary embolism. Chest 117 (2000) 39-42
58. Wolf S.J., McCubbin T.R., Feldhaus K.M., et al. Prospective validation of Wells Criteria in the evaluation of patients with suspected pulmonary embolism. Acad Emerg Med 44 5 (2004) 503-510
59. Chunilal S.D., Eikelboom J.W., Attia J., et al. Does this patient have pulmonary embolism?. JAMA 290 21 (2003) 2849-2858
60. Ferrari E., Imbert A., Chevalier T., et al. The ECG in pulmonary embolism: predictive value of negative T waves in the precordial leads-80 case reports. Chest 111 (1997) 537-543
61. Dunn K.L., Wolf J.P., Dorfman D.M., et al. Normal d-dimer levels in emergency department patients suspected of acute pulmonary embolism. J Am Coll Cardiol 40 (2002) 1475-1478
62. Ramzi D.W., and Leeper K.V. DVT and pulmonary embolism: Part I: Diagnosis. Am Fam Physician 69 12 (2004) 2829-2836
63. Blachere H., Latrabe V., Montaudon M., et al. Pulmonary embolism revealed on helical CT angiography: comparison with ventilation-perfusion radionuclide lung scanning. American Journal of Roentgenology 174 (2000) 1041-1047
64. Schoepf U.J., Goldhaber S.Z., and Costello P. Spiral computed tomography for acute pulmonary embolism. Circulation 109 (2004) 2160-2167
65. Tillie-Leblond I., Mastora I., Radenne F., et al. Risk of pulmonary embolism after a negative spiral CT angiogram in patients with pulmonary disease: a 1-yr follow up study. Radiology 223 (2002) 461-467
66. Moores L.K., Jackson W.L., Shorr A.F., et al. Meta-analysis: outcomes in patients with suspected pulmonary embolism managed with computed tomographic pulmonary angiography. Ann Intern Med 141 (2004) 866-874
67. Ost D., Rozenshtein A., Saffran L., et al. The negative predictive value of spiral computed tomography for the diagnosis of pulmonary embolism in patients with nondiagnostic ventilation-perfusion scans. Am J Med 110 (2001) 16-21
68. Cham M.D., Yankelevitz D.F., Shaham D., et al. Deep venous thrombosis: detection by using indirect CT venography: the Pulmonary Angiography-Indirect CT Venography Cooperative Group. Radiology 216 (2000) 744-751
69. Mac Gillavry M.R., Sanson B.J., Buller H.R., et al. Compression ultrasonography of the leg veins in patients with clinically suspected pulmonary embolism: is a more extensive assessment of compressibility useful?. Thromb Haemost 84 (2000) 973-976
70. Singh H., Warshawsky M.E., Herman S., et al. Spontaneous esophageal rupture: Boerhaave's syndrome. Clinical Pulmonary Medicine 10 3 (2003) 177-182
71. Duncan M., and Wong R.K.H. Esophageal emergencies: things that will wake you from a sound sleep. Gastroenterol Clin North Am 32 4 (2003) 1035-1052
72. Williamson W., and Ellis H. Esophageal perforation. In: Taylor M.B. (Ed). Gastrointestinal emergencies. 2nd edition (1997), Lipincott, Williams & Wilkins, Baltimore (MD) 31-49
73. Grubbs B.D., Baldwin D.R., Trenkner S.W., et al. Distal esophageal perforation caused by tuberculosis. J Thorac Cardiovasc Surg 121 (2001) 1003-1004
74. Eroglu A. Esophageal perforation: the importance of early diagnosis and primary repair. Dis Esophagus 17 (2004) 91-94
75. Gimenez A., Franquet T., Erasmus J., et al. Thoracic complications of esophageal disorders. Radiographics 22 (2002) S247-S258
76. Ghanem N., Altehoefer C., Springer O., et al. Radiological findings in Boerhaave's syndrome. Emerg Radiol 10 (2003) 8-13
77. Lange R.A., and Hills L.D. Acute pericarditis. N Engl J Med 351 21 (2004) 2195-2202
78. Braunwald E., Zipes D.P., and Libby P. Heart disease: a textbook of cardiovascular medicine. 6th edition (2001), W.B. Saunders Company, Philadelphia p. 1823-76
79. Spodick D.H. Acute pericarditis: current concepts and practice. JAMA 289 9 (2003) 1150-1153
80. Spodick D.H. Acute cardiac tamponade. N Engl J Med 349 7 (2003) 684-690
81. Marinella M.A. Electrocardiographic manifestations and differential diagnosis of acute pericarditis. Am Fam Physician 57 (1998) 699-710
82. Bruce M.A., and Spodick D.H. Atypical electrocardiogram in acute pericarditis: characteristics and prevalence. J Electrocardiol 13 (1980) 61-66
83. Imazio M., Demichelis B., Parrini I., et al. Day-hospital treatment of acute pericarditis: a management program for outpatient therapy. J Am Coll Cardiol 43 6 (2004) 1042-1046