[Criteria for differential diagnosis in cardial symptoms; left- or right-sided chest pain?].
We studied the localization of pain in the acute phase of myocardial infarction in comparison with localization in non-cardiac chest pain. Myocardial infarction patients could not be differentiated from patients with non-cardiac chest pain in localization of pain on mid-chest, left side of the chest and left arm. However, myocardial infarction patients reported pain on the right side of the chest and in the right arm twice as often as non-cardiac chest pain patients. Results are similar when patients indicated the localization of the pain symptoms on attending the Emergency Coronary Care Unit, or when asked five days later. Pain symptoms on the right side of the chest and the right arm differentiate better between myocardial infarction and non-cardiac chest pain than the 'classical' symptom pattern.
Beunderman
R
R
Afd. Medische Psychologie, Academisch Medisch Centrum, Amsterdam.
Sramek
M
M
Koster
R W
RW
Garssen
B
B
van Dis
H
H
D000208:Acute Disease; D002637:Chest Pain / Q000175:diagnosis*; D003327:Coronary Disease / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D009203:Myocardial Infarction / Q000503:physiopathology*
Differentieel-diagnostische criteria bij cardiale klachten; pijn links of rechts op de borst?