胸痛

IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Australian Journal of General Practice Pub Date : 2024-07-01 DOI:10.31128/AJGP-04-23-6810
Atifur Rahman
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引用次数: 0

摘要

背景:胸痛是一种常见的社区症状,其根本原因从良性肌肉骨骼疼痛到危及生命的心脏事件不等。对于医疗服务提供者来说,这是一种具有挑战性的表现,因为病因并不总是一眼就能看出来。胸痛也会给患者带来极大的焦虑,导致医疗服务的使用率和成本增加:本讨论旨在强调准确描述胸部不适的性质和使用适当术语的重要性,以促进适当的诊断工作。讨论还强调了典型胸痛和非典型胸痛之间的区别,并提供了有关胸痛病因和社区处理的信息:讨论:使用适当的术语准确描述胸部不适的性质对于确定症状的根本原因至关重要。医疗服务提供者应了解患者可能用来描述胸部不适的不同术语,并使用准确、翔实的术语来描述胸痛的潜在病因。非典型胸痛通常用于描述非心源性胸痛,但缺乏特异性。首选术语是 "心脏性"、"可能是心脏性 "或 "非心脏性"。
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Chest pain.

Background: Chest pain is a common symptom in the community, with underlying causes ranging from benign musculoskeletal pain to life-threatening cardiac events. It is a challenging presentation for healthcare providers, because the aetiology is not always immediately apparent. Chest pain can also cause significant anxiety for patients, leading to increased healthcare utilisation and costs.

Objective: The objective of this discussion is to emphasise the importance of accurately describing the nature of chest discomfort and using appropriate terminology to facilitate an appropriate diagnostic work-up. The discussion also highlights the differences between typical and atypical chest pain and provides information about the aetiology of chest pain and management in the community.

Discussion: Accurately describing the nature of chest discomfort by using appropriate terminology is crucial in identifying the underlying cause of the symptom. Healthcare providers should be aware of the different terms patients might use to describe their chest discomfort and use precise and informative terms to describe the potential underlying cause of the chest pain. Atypical chest pain is often used to describe non-cardiac chest pain, but it lacks specificity. Using the terms 'cardiac,' 'possibly cardiac' or 'non-cardiac' is the preferred terminology.

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来源期刊
Australian Journal of General Practice
Australian Journal of General Practice Medicine-Family Practice
CiteScore
2.80
自引率
4.50%
发文量
284
期刊介绍: The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.
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