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DIAGNOSTIC VALUE OF QUESTIONNAIRES REGARDING ANGINA PECTORIS AND OESOPHAGEAL DYSFUNCTION IN PATIENTS WITH CHEST PAIN

 

作者: Magnus Areskog,   Lita Tibbling,   Bengt Wranne,  

 

期刊: Acta Medica Scandinavica  (WILEY Available online 1981)
卷期: Volume 209, issue S644  

页码: 13-16

 

ISSN:0001-6101

 

年代: 1981

 

DOI:10.1111/j.0954-6820.1981.tb03108.x

 

出版商: Blackwell Publishing Ltd

 

数据来源: WILEY

 

摘要:

ABSTRACT.Questionnaires aimed at detecting angina pectoris and oesophageal dysfunction (OD) were used in 281 patients with central chest pain of a type which gave suspicion of ischaemic heart disease (IHD). Signs of IHD were found in 208 patients (74%), 172 of whom had a positive angina pectoris questionnaire. The sensitivity of the questionnaire regarding the diagnosis of IHD was 83%, the specificity 48% and the predictive accuracy 82%. OD was found in 137 of the 281 patients (49%). »Do you often have heartburn« was the question which distinguished the OD and non‐OD groups the best (p<0.001). The sensitivity of this question in detecting OD was 34%, the specificity 93% and the predictive accuracy 82%. In conclusion, the diagnostic value of the angina pectoris questionnaire was limited by a low specificity and the diagnostic value of the oesophageal questionnaire by a low sensitivity in these patients with chest pain. Differential diagnosis of chest pain is an important every day problem in clinical medicine. The difficulties in the differentiation between pain of oesophageal and cardiac origin have been emphasized by several authors (4, 5, 6, 7). In the present report the interest has been focused on the use of questionnaires in the differential diagno

 

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