Study of Chest Pain and its Risk Factors in Over 30 Year-Old Individuals

Chest pain is one of the most prevalent complaints among adults that cause the people to attend to medical centers. The aim was to determine the prevalence and risk factors of chest pain among over 30 years old people in Tehran. In this cross-sectional study, 787 adults took part from Apr 2005 until Apr 2006. The sampling method was random cluster sampling and there were 25 clusters. In each cluster, interviews were performed with 32 over 30 years old, people lived in those houses. In cases with chest pain, extra questions asked. The prevalence of CP was 9% (71 cases). Of them 21 cases (6.5%) were in 41-60 year age ranges and the remainders were over 61 year old. 19 cases (26.8%) mentioned CP in resting state and all of the cases had exertion onset CP. The CP duration was 10 minutes or less in all of the cases and in most of them (84.5%), the location of pain mentioned left anterior part of chest, left anterior part of sternum and or left arm. There was positive history of myocardial infarction in 12 cases (17%). There was significant relation between CP and age, sex and between history of myocardial infarction and marital state of study people. Our results are similar to other studies- results in most parts, however it is necessary to perform supplementary tests and follow up studies to differentiate between cardiac and non-cardiac CP exactly.

Authors:



References:
[1] Wong WM, Lam KF, Cheng C, Hui WM, Xia HH, Lai KC, et al.
Population based study of no cardiac chest pain in southern Chinese:
prevalence, psychosocial factors, and health care utilization. World J
Gastroenterology 2004; 10:707-712.
[2] Kasper DL, Braunwald E, Fausi AS, Hauser SL, Longo DL, Jameson JL.
Harrison-s principles of Internal Medicine. 16th Ed. New York: Mc
Graw-Hill; 2005
[3] Buntinx F, Knockaert D, Bruyninckx R, de Blaey N, Aerts M,
Knottnerus JA, et al. Chest pain in general practice or in the hospital
emergency department: is it the same? Fam Pract 2001; 18 :586-589.
[4] Cassin M, Badajo LP, Solinas L, Macro F, Borelli C, Antoni-Canterin F,
et al. Is a more efficient operative strategy feasible for the emergency
management of the patient with acute chest pain? Ital Heart J 2000; one
(two Suppl):186-201.
[5] Dammen T, Arnesen H, Ekeberg O, Husebye T, Friis S. Panic disorder
in chest pain patients referred for cardiological outpatient investigation. J
Intern Med 1999; 245:497-507.
[6] Eslick GD, Jones MP, Talley NJ. Non-cardiac chest pain: prevalence,
risk factors, impact, and consulting. A population-based study. Aliment
Pharmacology Ther 2003; 17:1115-1124.
[7] Cape well S, Murphy NF, Macintyre K, Frame S, Stewart S, Chalmers
JW, et al. Short-terms and long-terms outcomes in 133.429 emergency
patients admitted with angina or myocardial infarction in Scotland,1990-
2000. Heart 2006; 92:1563-1570.
[8] Kohn MA, Kwan E, Gupta M, Tabas JA. Prevalence of acute
Myocardial infarction and other serious diagnoses in patients presenting
to an urban emergency department with chest pain. J Emerg Med 2005;
29:383-390.
[9] Solinas L, Raucci R, Terrazzino S, Moscariello F, Pertoldi F, Vajto S, et
al. Prevalence, clinical characteristics, resource utilization and outcome
of patients with acute chest pain in the emergency department. A
multicenter, prospective, observational study in northeastern Italy. Ital
Heart J 2003; 4:318-324.
[10] Goldman L, Ausiello D. Ceccil Textbook of Medicine. 22nd Ed.
Philadelphia: W.B. Saunders; 2004.
[11] Spalding L, Reay E, Kelly C. Cause and outcome of atypical chest pain
in patients admitted to hospital. J R Soc Med 2003; 96:122-125.
[12] Goodacre S, Mason S, Arnold J, Angelini K. Psychologic morbidity and
health-related quality of life of patients assessed in a chest pain
observation unit. Ann Emerg Med 2001; 38: 369-376.
[13] Kuijpers PM, Honig A, Griez EJ, Braat SH, Wellens HJ. Panic disorder
in patients with chest pain and palpitations: an often unrecognized
relationship. Ned Tijdschr Geneeskd 2000; 144:732-736.
[14] Ruigomez A, Rodriguez LA, Wall Ander MA, Johansson S, Jones R.
Chest pain in general practices: incidence, co morbidity, and mortality.
Fam Pract 2006; 23:167-174.
[15] Hotopf M, Mayo R, Wadsworth M, Wessely S. Psychosocial, and
developmental antecedents of chest pain in young adults. Psychosomatic
Med 1999; 61:861-867.
[16] Wells S, Broad J, Jackson R. Estimated prevalence of cardiovascular
disease and distribution of cardiovascular risk in New Zealanders: data
for healthcare planners, funders and providers. N Z Med J 2006; 119: U
1935.
[17] L├│pez-Bescos L, Cosin J, Elosua R, Cabades A, DeLos Reyes M, Aros
F, et al. The prevalence of angina and cardiovascular risk factors in the
different autonomous communities of Spain. Rev Esp. Cardio 1999;
52:1045-1056.
[18] Murphy NF, Simpson CR, Macintyre K, McAlister FA, Chalmers J,
McMurray JJ. Prevalence, incidence, primary care burden, and medical
treatment of angina in Scotland: age, sex, and socioeconomic disparities.
Heart 2006; 92:1047-1054.
[19] Soiza RL, Leslie SJ, Harrild K, Penden NR, Hargreaves AD. Agedependent
differences in presentation, risk factor profile, and outcome of
suspected acute coronary syndrome. J Am Geriatric Soc 2005; 53:1961-
1965.
[20] Chow CM, Donovan L, Manuel D, Johansen H, Tu JV. Regional
variation in self-reported heart disease prevalence in Canada. Can J
Cardio 2005; 21:1265-1271.
[21] Richards H, McConnachie A, Morrison C, Murray K, Watt G. Social
and gender variation in the prevalence, presentation and general
practitioner provisional diagnosis of chest pain. J Epidemiology
Community Health 2000; 54:714-718.
[22] Mendozza-Sassi R, Beria IU, Fiori N, Bortolotto A. Prevalence of signs
and symptoms, associated sociodemographic factors and resulting
actions in an urban center in southern Brazil. Rev Panam Salud Publican
2006; 20:22-28.