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Journal of the Korean Academy of Family Medicine 1991;12(10):30-39.
Published online October 1, 1991.
Clinical features of chest pain in a university hospital emergency room.
Woo cheol Chung, Jong Wuk Park, Yoo Sun Mun, Mi Kyung Oh, Hye Ree Lee, Bang Bu Youn
대학병원 응급시에 내원한 흉통 환자의 임상적 고찰
정우철, 박종욱, 문유선, 이혜리, 윤방부
연세대학교의과대학 가정의학교실
Chest pain is important to patients and clinicians because it can signal a threat to life and produce difficult diagnostic and therapeutic challenges. Although there are many reports about emergencies, the literature has underemphasized the importance of the chest pain in our country. Authors made an analysis on 451 patients treated at Sevrance Hospital Emergency room from March 1989 to Febraury 1990 due to chest pain.

The results were as follows
1. Male was 53.6%, female was 46.4%, respectively.
2. The age distribution of patients was 15 through 90 years olds. The age group of 60-69 years old was the largest.
3. Overworking and psychic stress were found to be the common precipitating factors.
4. The mean number of laboratory examination performed was 3.91 by each patient. Among laboratory examinations, ECG was the most common laboratory examination. The number of normal ECG was 90(22.8%) and that of abnormal ECG was 409(77.2%).
5. Admission rate of chest pain patients (19.6%) were lesser than the admission rate of all patients in emerency room (34.3%).
6. Most of the patients had disease that could be diagnosed at a primary care level.
7. The 3 most common diseases of chest pain visited emergency room were coronary heart disease, psychosomatic disease and gastointestinal disease.


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