CLINICAL CHARACTERISTICS OF PATIENTS PRESENTING WITH TYPICAL AND ATYPICAL CHEST PAIN IN EMERGENCY DEPARTMENT: A CLINICAL AUDIT

Abstract

Objective:To determine and compare the frequency, clinical characteristics and outcomes of patients reporting in
Emergency Department of AFIC& NIHD with typical and atypical chest pain.
Study Design: Comparative cross-sectional study.
Place and Duration of Study: Emergency Department of Armed Forces Institute of Cardiology & National
Institute of Heart Diseases Rawalpindi, from 1stDecember 2016 till 31stDecember 2016.
Material and Methods: All the patients presented with typical and atypical chest pain during our study time
period were included in the study. A data collection tool was formulated by R & D Department to collect the
relevant information.
Results:There were total 215 patients recruited with chest pain in emergency department during our study
period. The mean age of the patients was 56.17 ±10.98 years.130(60.4%) patients had typical chest pain while
85(39.5%) patients presented with atypical chest pain. Male patients were found to be more with typical chest
pain 105(80.7%). Clinical Characteristics and co-morbidities showed, diabetes in 58(44.6%) patients of typical
chest pain (p=0.01), 65 (50.0%) patients were hypertensive (p=0.88) and 36(27.6%) hadischemic heart disease
(p=0.02). Family history of cardiovascular disease was positive in 34(26.1%) withp-value=0.01. The most common
diagnosis of typical chest patients were acute myocardial infarction 80(37.9%) with statistically significant p value
(p<0.01).Underlying causes for the majority of atypical chest pain patients 77(90.5%) were gastric causes and
anxiety related issues (p=0.01). About 25(11.6%) patients under went primary PCI, injection streptokinase were
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Conclusion: Patients with life threatening etiologies for chest pain may appear deceptively well, manifesting
neither vital sign nor .............