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 22 November 2017

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News

Non-cardiac chest pain, prevalence, risk factors, impact and consulting

Non-cardiac chest pain is common in the general population, and negatively impacts on quality of life, find researchers in the latest issue of Alimentary Pharmacology and Therapeutics.

News image

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Little is known about the prevalence and importance of non-cardiac chest pain in the general population.

In this study, researchers from Australia and the United States evaluated the magnitude and impact non-cardiac chest pain.

The research team mailed a self-report questionnaire to a sample of 1000 randomly selected residents of Penrith.

They measured symptoms, risk factors, psychological distress, quality of life and demographics.

The response rate was 73% (n = 672, mean age = 46 years, 52% female).

Chest pain was reported by 39% of the population.
Alimentary Pharmacology and Therapeutics

Chest pain was reported by 39% of the population.

Overall, 7% reported a history of myocardial infarction and 8% a history of angina.

The team found that 33% of cases were classified as non-cardiac chest pain and only 23% had consulted a physician about chest pain in the previous year.

The researchers determined that the only independent risk factor for non-cardiac chest pain was the frequency of heartburn (odds ratio, 1.74).

In addition, none of the gastrointestinal or psychological risk factors were significantly associated with consulting for non-cardiac chest pain.

Dr Eslick's team concluded, "Non-cardiac chest pain is remarkably common in the general population and negatively impacts on the quality of life".

"Gastro-esophageal reflux disease is a key risk factor for non-cardiac chest pain in the community".

"Health care seeking for non-cardiac chest pain remains unexplained".

Aliment Pharmacol Ther 2003; 17(9): 1115-24
07 May 2003

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