Cardiac chest pain: does body language help the diagnosis?

Edmondstone, W M

doi:10.1136/bmj.311.7021.1660

Cited by 40 publications

(17 citation statements)

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“…2 In about one-fifth (18%) of cases, cardiac pain can be localised in the jaw and teeth. 3 When facial pain is recognised as a possible sign of heart disease, clinicians have an important role as diagnosticians. Several reports demonstrate that an improper diagnosis leads to unnecessary dental treatment.…”

Section: Introductionmentioning

confidence: 99%

Bilateral facial pain from cardiac origin. A case report

2005

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Section: Introductionmentioning

confidence: 99%

Bilateral facial pain from cardiac origin. A case report

2005

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“…[40][41][42] Bunun yanında bizim kullandığımız yön-temin altın standart kabul edilen agregometre ile yüksek korelasyon gösterdiği daha önceki çalışma-larda gösterilmiştir. 43,44 Çalışmamızın en sınırlayıcı kriteri, aspirin direnci belirlemek için tek yöntem kullanmış olmamızdı. Sonucun daha nesnel değerlendirilebilmesi için birden fazla yöntem kullanılabilirdi.…”

Section: Demografi̇k öZelli̇klerunclassified

The Frequency of Aspirin Resistance and Its Relationship with Clinical and Laboratory Parameters in Patients with Stable Coronary Artery Disease

Tekkeşin¹,

Ardal²,

Tetik³

2014

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Aspirin, kardiyovasküler tıpta antitrombosit tedavinin temelini oluşturur. Aspirin ile yetersiz trombosit baskılanması sonucu aspirine dirençli tanımlanan koroner arter hastalarında (KAH), kardiyovasküler olaylardan zarar görme riski yüksek olabilir. Dolayısıyla, trombosit fonksiyonlarını ölçerek bu hastaların belirlenmesi büyük önem taşımaktadır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu çalışmanın amacı, 100 mg/gün aspirin kullanan stabil KAH'ı olan 123 hastada (69 erkek, 54 bayan; ortalama yaş±SS: 56±0,8 yıl) referans bir metot kullanarak aspirin direncinin frekansını ve klinik ve biyokimyasal parametreler ile ilişkisini araştırmaktı. Aspirin cevabı, hızlı bir araç, hasta başı metot olan VerifyNow testi ile belirlendi, ve aspirin direnci araşidonik asit ile uyarılan trombosit agregasyon hızının 550 ARU (aspirin reaction unit)'nun üzerinde olması diye tanım-landı. B Bu ul lg gu ul la ar r: : Otuz bir hastada aspirin direnci saptandı (%25,2). Aspirin direnci ile hipertansif ve sigara içen hastalar arasında belirgin bir ilişki saptandı. Aspirine dirençli olan hastalarda hassas olanlara göre fibrinojen ve hsCRP (hassas CRP) düzeyleri anlamlı düzeyde yüksekti (fibrinojen: dirençli 748±67,8 mg/dL, hassas 347±41.9 mg/dL, hsCRP: dirençli 8.7±1.8 mg/L, hassas 3.2±0.9 mg/L, p <0,0001). Lipidler dışında diğer laboratuvar parametrelerinin hiçbiri, aspirine dirençli ve hassas olan hastalar arasında farklı değildi. S So on nu uç ç: : Bulgularımıza göre aspirin direncini belirlemede ilk adım olarak fibrinojen ve hsCRP düzeylerinin ölçümünün kullanılabileceği önerilmektedir. Bununla birlikte aspirin direnci olan hastalarda antitrombosit tedaviyi optimize edebilmek üzere major kardiyovasküler olayların riskini belirlemek için daha ileri çalışmalara ihtiyacımız vardır.A An na ah ht ta ar r K Ke el li im me el le er r: : Aspirin; trombosit agregasyon inhibitörleri; fibrinojen; koroner arter hastalığı A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Aspirin is the cornerstone of antiplatelet therapy in cardiovascular medicine. Patients with coronary artery disease (CAD) with inadequate platelet inhibition by aspirin, referred to as aspirin resistance, might have an increased risk of suffering cardiovascular events. Therefore, identification of these patients by measuring platelet function is of great importance. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The aim of this study was to investigate the frequency of aspirin resistance using a reference method and related clinical and biochemical parameters in 123 patients (69 males, 54 females; mean age±SD: 56±0.8 years) with stable coronary artery disease (CAD), who received 100 mg/day aspirin. Aspirin responsiveness was determined using a rapid tool, point-of-care (POC) method, VerifyNow assay, and resistance was defined as arachidonic acid-induced platelet aggregation rate above 550 ARU (aspirin reaction unit). R Re es su ul lt ts s: : Aspirin resistance was detected in 31 patients (25.2%). A significant relation ...

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“…Neither the patient nor the doctor wants to end up with an unsolved case, and a decision of some sort usually has to be taken, even if the decision is that, somewhat ungratifyingly, it is not possible to choose a specific diagnosis at the present stage.7 Furthermore, inattention to patients' accounts can sometimes be explained by the fact that these accounts or descriptions do not fit the prototypical descriptions (or symptoms) for the diagnosis in question. In addition to the mismatch between the patient's verbal and nonverbal (Edmonstone 1995) description of symptoms and the doctor's prototypical expectations, other features of doctor-patient interaction, for instance the participants' conversational styles (such as intonation, pitch, pauses) can further reduce the interactants' understanding of each other's talk "...depending on whether o r not one has encountered their [i.e. the conversational styles'] use in one's speech community" (Tannen 1981: 386).…”

Section: )mentioning

confidence: 99%

‘Symptom’ and ‘diagnosis’ as prototypes: applying the theory of prototypes and the notion of fuzziness to the study of a doctor‐patient interaction

Wynn¹

1996

Int J App Linguistics

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The paper examines the concepts of ‘symptom’ and ‘diagnosis’ from an interdisciplinary perspective, drawing on elements from cognitive linguistics, clinical decision‐making research and conversation analysis. The main focus is on how prototype theory and the notion of fuzziness can enhance the understanding of these concepts. It is argued that the various manifestations of disease, conceptualised as ‘symptom’ and ‘diagnosis’, can be understood as prototypical concepts. Excerpts from an authentic consultation are examined in detail in order to illustrate how cognitive linguistics can be applied in the analysis of doctor‐patient interaction.

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Cardiac chest pain: does body language help the diagnosis?

Abstract: of traveler's diarrhea by the tablet form of bismuth subsalicylate. Antimicrob Agents Chemother 1986;29:625-7. 3 Sox TE, Olson CA. Binding and killing of bacteria by bismuth subsalicylate.

Cited by 40 publications

References 0 publications

Bilateral facial pain from cardiac origin. A case report

Bilateral facial pain from cardiac origin. A case report

The Frequency of Aspirin Resistance and Its Relationship with Clinical and Laboratory Parameters in Patients with Stable Coronary Artery Disease

‘Symptom’ and ‘diagnosis’ as prototypes: applying the theory of prototypes and the notion of fuzziness to the study of a doctor‐patient interaction

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