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Chest pain

Causes
Clinical features
Investigations
Therapy
Prognosis
Therapy

Consider trying the following for patients with chest pain who continue to have symptoms, but have had cardiac disease excluded:
  • cognitive-behavioural therapy a

Why?

  • Patients given 4 to 12 weeks of cognitive-behavioural therapy have fewer episodes of pain which is less severe a

Cognitive-behavioural therapy reduces non-cardiac chest pain

Patient Treatment Comparison Outcome CER RRR
(95% CI)		 NNT
(95% CI)
non-cardiac chest pain a cognitive-behavioural therapy no therapy 4 or more episodes of chest pain per week
at 12 months 		56% 78%
(43% to 92%) 		2
(2 to 4)

 

 

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