Chest pain natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2]
Overview
If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
OR
Common complications of [disease name] include [complication 1], [complication 2], and [complication 3].
OR
Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
Natural History, Complications, and Prognosis
Natural History
- The symptoms of (disease name) usually develop in the first/ second/ third decade of life, and start with symptoms such as ___.
- The symptoms of (disease name) typically develop ___ years after exposure to ___.
- If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
Complications
- Common complications of [disease name] include:
- [Complication 1]
- [Complication 2]
- [Complication 3]
Prognosis
- Prognosis is generally good, 1-year mortality rate of patients presenting with chest pain is approximately 0.7%[1].
- Depending on the etiology at the time of presentation, the prognosis may vary. However, the prognosis is generally regarded as good.
- The presence of aortic dissection is associated with a particularly poor prognosis among patients presenting with chest pain with a 1-year mortality rate of 90%[2].
- The 1-year mortality rate of patients with non-cardiac chest pain was found to be 2.3% compared with 7.2% in patients presenting with cardiac chest painhttps://openheart.bmj.com/content/5/2/e000859#:~:text=Results%20More%20than%2060%25%20of,respectively%20(p%3D0.026)..
References
- ↑ Ilangkovan N, Mickley H, Diederichsen A, Lassen A, Sørensen TL, Sheta HM, Stæhr PB, Mogensen CB (December 2017). "Clinical features and prognosis of patients with acute non-specific chest pain in emergency and cardiology departments after the introduction of high-sensitivity troponins: a prospective cohort study". BMJ Open. 7 (12): e018636. doi:10.1136/bmjopen-2017-018636. PMC 5770919. PMID 29275346.
- ↑ [+https://www.msdmanuals.com/professional/cardiovascular-disorders/diseases-of-the-aorta-and-its-branches/aortic-dissection#:~:text=About%2020%25%20of%20patients%20with%20aortic%20dissection%20die%20before%20reaching,dissection%20and%2010%25%20for%20distal. "Aortic Dissection - Cardiovascular Disorders - MSD Manual Professional Edition"] Check
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