Chest pain score: a novel and practical approach to angina pectoris. A diagnostic accuracy study
ABSTRACT BACKGROUND: The chest pain classifications that are currently in use are based on studies that are several decades old. Various studies have indicated that these classifications are not sufficient for determining the origin of chest pain without additional diagnostic tests or tools. We de...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
2019-05-01
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| Series: | São Paulo Medical Journal |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802019000100054&lng=en&tlng=en |
| _version_ | 1818967062319464448 |
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| author | Fatih Aydin Ercan Aksit Ozge Turgay Yildirim Ayse Huseyinoglu Aydin Evrin Dagtekin Murat Samsa |
| author_facet | Fatih Aydin Ercan Aksit Ozge Turgay Yildirim Ayse Huseyinoglu Aydin Evrin Dagtekin Murat Samsa |
| author_sort | Fatih Aydin |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND: The chest pain classifications that are currently in use are based on studies that are several decades old. Various studies have indicated that these classifications are not sufficient for determining the origin of chest pain without additional diagnostic tests or tools. We describe a new chest pain scoring system that examines the relationship between chest pain and ischemic heart disease (IHD). DESIGN AND SETTING: Cross-sectional study conducted in a tertiary-level university hospital and two public hospitals. METHODS: Chest pain scores were assigned to 484 patients. These patients then underwent a treadmill stress test, followed by myocardial perfusion scintigraphy if necessary. Coronary angiography was then carried out on the patients whose tests had been interpreted as positive for ischemia. Afterwards, the relationship between myocardial ischemia and the test score results was investigated. RESULTS: The median chest pain score was 2 (range: 0-7) among the patients without IHD and 6 (1-8) among those with IHD. The median score of patients with IHD was significantly higher than that of patients without IHD (P = 0.001). Receiver operating characteristic analysis showed that the score had sensitivity of 97% and specificity of 87.5% for detecting IHD. CONCLUSION: We developed a pre-test chest pain score that uses a digital scoring system to assess whether or not the pain was caused by IHD. This scoring system can be applied easily and swiftly by healthcare professionals and can prevent the confusion that is caused by other classification and scoring systems. |
| first_indexed | 2024-12-20T13:42:49Z |
| format | Article |
| id | doaj.art-c8b49997dddf4649bc6102b85f0c8149 |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-20T13:42:49Z |
| publishDate | 2019-05-01 |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-c8b49997dddf4649bc6102b85f0c81492022-12-21T19:38:46ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602019-05-011371545910.1590/1516-3180.2018.0238101218S1516-31802019000100054Chest pain score: a novel and practical approach to angina pectoris. A diagnostic accuracy studyFatih AydinErcan AksitOzge Turgay YildirimAyse Huseyinoglu AydinEvrin DagtekinMurat SamsaABSTRACT BACKGROUND: The chest pain classifications that are currently in use are based on studies that are several decades old. Various studies have indicated that these classifications are not sufficient for determining the origin of chest pain without additional diagnostic tests or tools. We describe a new chest pain scoring system that examines the relationship between chest pain and ischemic heart disease (IHD). DESIGN AND SETTING: Cross-sectional study conducted in a tertiary-level university hospital and two public hospitals. METHODS: Chest pain scores were assigned to 484 patients. These patients then underwent a treadmill stress test, followed by myocardial perfusion scintigraphy if necessary. Coronary angiography was then carried out on the patients whose tests had been interpreted as positive for ischemia. Afterwards, the relationship between myocardial ischemia and the test score results was investigated. RESULTS: The median chest pain score was 2 (range: 0-7) among the patients without IHD and 6 (1-8) among those with IHD. The median score of patients with IHD was significantly higher than that of patients without IHD (P = 0.001). Receiver operating characteristic analysis showed that the score had sensitivity of 97% and specificity of 87.5% for detecting IHD. CONCLUSION: We developed a pre-test chest pain score that uses a digital scoring system to assess whether or not the pain was caused by IHD. This scoring system can be applied easily and swiftly by healthcare professionals and can prevent the confusion that is caused by other classification and scoring systems.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802019000100054&lng=en&tlng=enChest painAngina pectorisMyocardial ischemia |
| spellingShingle | Fatih Aydin Ercan Aksit Ozge Turgay Yildirim Ayse Huseyinoglu Aydin Evrin Dagtekin Murat Samsa Chest pain score: a novel and practical approach to angina pectoris. A diagnostic accuracy study São Paulo Medical Journal Chest pain Angina pectoris Myocardial ischemia |
| title | Chest pain score: a novel and practical approach to angina pectoris. A diagnostic accuracy study |
| title_full | Chest pain score: a novel and practical approach to angina pectoris. A diagnostic accuracy study |
| title_fullStr | Chest pain score: a novel and practical approach to angina pectoris. A diagnostic accuracy study |
| title_full_unstemmed | Chest pain score: a novel and practical approach to angina pectoris. A diagnostic accuracy study |
| title_short | Chest pain score: a novel and practical approach to angina pectoris. A diagnostic accuracy study |
| title_sort | chest pain score a novel and practical approach to angina pectoris a diagnostic accuracy study |
| topic | Chest pain Angina pectoris Myocardial ischemia |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802019000100054&lng=en&tlng=en |
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