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Chest pain

Causes
Clinical features
Investigations
Therapy
Prognosis
Prognosis

The risk of dying is increased with cardiovascular risk factors a b
  • smoker 
  • diabetes mellitus 
  • hypertension 

Why?

Cardiovascular risk factors increase the risk of dying

Patient Prognostic Factor Outcome CER RR
(95% CI)		 NNF+
(95% CI)
symptoms suggestive of MI a smoker
independent 		death
at 5 years 		26% 1.65
(1.42 to 1.90)		 6
(4 to 9)
  diabetes
independent 		  26% 1.60
(1.35 to 1.90)		 6
(4 to 11)
  hypertension
independent 		  26% 1.20
(1.05 to 1.37)		 19
(11 to 78)
 

 

Expiry date: June 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   S   Straus
CAT Writers   CJ   Wotton , CM   Ball , N   Shenker , RS   Phillips