Every year, considerable numbers of people seek emergency treatment for undetermined chest pain which is not linked to biomedical factors such as cardiovascular diseases or other illness. A thesis from Sahlgrenska Academy (faculty of health sciences) at university of Gothenburg, Sweden points that stress at work, anxiety, depression and inactive lifestyle may lead to unexplained chest pain.
Annually a large number of people are diagnosed with unexplained chest pain (UCP), which means that the pain is not linked to any biomedical factors such as heart disease or other illness. The patient group is significant in size, with just over 21,000 patients seeking medical treatment in 2006, and so far scientists are unable to discover the exact cause of unexplained chest pain.
“Many suffer from recurring bouts of pain for several years, while the healthcare services are unable to find out what it’s causing,” said lead researchers and an author of the thesis, Nurse Annika Janson Fagring.
In her thesis, Annika Janson Fraging further analysis symptoms of patients with unexplained chest pain. She reached to the conclusion that most of them are above 50 years of age, and that over one third of those affected with unexplained chest pain were noncitizen of Sweden.
“The main difference between men and women with undetermined chest pain is that men were more probable to perceive their lives and jobs as being stressful and nerve wracking, while women tended more to suffer from symptoms of depressive disorder and anxiety,” says Annika Janson Fagring.
Moreover, compared with reference group, both men and women with unexplained chest pain led a more inactive lifestyle.
The dissertation also focuses on the development of symptoms and the prognosis for patients with unexplained chest pain over an amount of time, compared with patients enduring pain from angina pectoris and patients who had suffered a cardiac attack.
A register study brought out that there has been considerable increase in number of patients diagnosed with unexplained chest pain from 1987 up until 2000, and then leveled out. The number of patients with angina increased up until 1994 and has since gone down, while the number of patients who have suffered cardiac attack has come down throughout the whole period.
In addition, there were hardly any deaths among patients with unexplained chest pain a year after they became ill, compared with patients that became ill with angina pectoris or suffered cardiac attack.
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