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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Electrocardiogram and Chest Pain in Real Practice: A Retrospective Cohort Study in Family Practicein Portugal

Paulo Santos, Carlos Martins, Paulo Pessanha, Manuel Viana, Luisa Sa, Alberto Hespanhol, Altamiro Costa Pereira and Luciana Couto
Page: 58-63 | Received 21 Sep 2022, Published online: 21 Sep 2022

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https://doi.org/10.36478/rjmsci.2015.58.63

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Abstract

Electrocardiogram (ECG) plays a major role in the study of chest pain. To measure the impact of making an ECG in patients with Chest Pain (CP) in primary care. We conducted a retrospective cohort study of patients with CP that made an ECG in a primary care setting by comparison with those who made the ECG as a routine test in order to measure the change of cardiovascular clinical guidance up to 6 months after ECG. Cases were categorized in atypical or typical CP. Secondary a clinical practice analysis was performed, counting the number of medical visits 12 months before and after ECG. We studied 480 patients, consecutively selected during 4 years, 333 in CP group (286 with atypical CP) and 147 controls. Patients with typical CP presented higher changing in clinical guidance (RR = 4.299; 95% CI: 2.378-7.772, p<0.001) than patients with atypical CP (RR = 1.116; 95% CI: 1.008-1.235, p = 0.047) when compared with controls. In the routine group, there wasn’t any variation of visits counting as in the typical CP group but a reduction of 0.59 visits (95% CI: -0.90-0.29; p<0.001) occurred in the atypical CP patients 1 year after the ECG. Anxiety was significantly associated to atypical CP orientation.

How to cite this article:

Paulo Santos, Carlos Martins, Paulo Pessanha, Manuel Viana, Luisa Sa, Alberto Hespanhol, Altamiro Costa Pereira and Luciana Couto. Electrocardiogram and Chest Pain in Real Practice: A Retrospective Cohort Study in Family Practicein Portugal.
DOI: https://doi.org/10.36478/rjmsci.2015.58.63
URL: https://www.makhillpublications.co/view-article/1815-9346/rjmsci.2015.58.63