title: [Prognosis is often poor in chest pain not interpreted as angina pectoris. Simultaneous occurrence of cardiovascular risk factors increases the risk of premature death].
abstract: BACKGROUND
  Typical angina pectoris is easy to recognize, but coronary insufficiency may present with nonspecific chest discomfort.
  
  
  OBJECTIVE
  We wanted to investigate long-term prognosis in men with different types of chest pain.
  
  
  METHODS
  A random population sample comprising 5,773 men aged 51-57 years at baseline were followed for 16 years.
  
  
  RESULTS
  Mortality due to coronary heart disease was 8.0% among men without chest pain, 19.5% (total mortality 44%) among those with non-specific chest pain, 24.8% (total mortality 45%) among those with typical angina and 48.5% among those with a history of myocardial infarction at baseline.
  
  
  CONCLUSIONS
  Non-specific chest pain is associated with poor prognosis, and coronary risk factors have strong predictive value.
authors.affiliation: Hjärt-lunginstitutionen, Göteborgs universitet. lars.wilhelmsen@gu-cri.se
authors.forename: L
authors.initials: L
authors.lastname: Wilhelmsen
authors.forename: A
authors.initials: A
authors.lastname: Rosengren
authors.forename: M
authors.initials: M
authors.lastname: Hagman
authors.forename: G
authors.initials: G
authors.lastname: Lappas
mesh_terms: D000787:Angina Pectoris / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality; D002637:Chest Pain / Q000150:complications / Q000209:etiology / Q000401:mortality; D002784:Cholesterol / Q000097:blood; D003327:Coronary Disease / Q000150:complications* / Q000175:diagnosis / Q000401:mortality; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis / Q000401:mortality; D011379:Prognosis; D012307:Risk Factors; D012907:Smoking
chemical_list: D002784:Cholesterol