Chest pain is one of the most frequent complaints for which patients seek medical attention, and the evaluation of chest pain is among the most challenging problems in emergency department. Because it has the dangers of missing the diagnosis and
little
objective evidence. The potential harm resulting from the improper assessment and management of the patient with this complaint is enormous. So, on the basis of cause producing the chest pain we can take advantage for rapid and accurate
diagnosis.
We reviewed the 616 patient's records from Jul. 1994 to Jun. 1995. The result was Cardiac Disease 321 (52.11%) (Acute Myocardial Infarction 33.02%, Angina 30.02%, Arrhythmia 9.03%, Myocardial Disease 7.79%, etc). Pulmonary Disease 112 (18.18%),
Psychiatric Disease 65 (10.55%), Gastrointestinal Disease 46(7.47%), Musculoskeletal System Disease 17 (2.76%).Total Mortality Rate was 25 (4.06%) for chest pain and 7.79% in cardiac disease.
Finally most common cause of chest pain was ischemic heart disease, but in Korea most of patients who suffer from chest pain did not recognize relationship between the chest pain and cardiac disease. Thus we concluded that knowledge of chest pain
can be
used for reducing the unexpected death and the financial costs for the diagnosis and delayed treatment, and we must advise relationship between risks of cardiac diseases and chest pain via the mass media.
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