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Characteristics of chest pain in COVID-19 patients in the emergency department

INTRODUCTION: Patients with coronavirus disease 2019 (COVID-19) can present with chest pain. However, the characteristics of this chest pain are unknown. We performed a single-centre observational study to review and summarise chest pain characteristics in COVID-19 patients at first presentation to...

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Autores principales: Sinkeldam, M., Buenen, A. G., Celiker, E., van Diepen, M., de Vos, A. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bohn Stafleu van Loghum 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9589604/
https://www.ncbi.nlm.nih.gov/pubmed/36269453
http://dx.doi.org/10.1007/s12471-022-01730-7
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author Sinkeldam, M.
Buenen, A. G.
Celiker, E.
van Diepen, M.
de Vos, A. M.
author_facet Sinkeldam, M.
Buenen, A. G.
Celiker, E.
van Diepen, M.
de Vos, A. M.
author_sort Sinkeldam, M.
collection PubMed
description INTRODUCTION: Patients with coronavirus disease 2019 (COVID-19) can present with chest pain. However, the characteristics of this chest pain are unknown. We performed a single-centre observational study to review and summarise chest pain characteristics in COVID-19 patients at first presentation to the emergency department (ED). METHODS: We collected data on characteristics of ‘chest pain’ reported by COVID-19 patients who attended the ED of Bernhoven Hospital, the Netherlands from 4 through 30 March 2020. RESULTS: We included 497 COVID-19 patients, of whom 83 (17%) reported chest pain upon presentation to the ED. Chest pain characteristics were: present since disease onset (88%), retrosternal location (43%), experienced as compressing/pressure pain (61%), no radiation (61%) and linked to heavy coughing (39%). Patients who reported chest pain were younger than those without chest pain (61 vs 73 years; p < 0.001). Patients with syncope were older (75 vs 72 years; p = 0.017), had a shorter duration of symptoms (5 vs 7 days; p < 0.001) and reported fewer respiratory complaints (68% vs 90%; p < 0.001) than those without syncope. Patients with new-onset atrial arrhythmias presented with a shorter duration of symptoms (5 vs 7 days; p = 0.013), experienced fewer respiratory complaints (72% vs 89%; p = 0.012) and more frequently had a history of cardiovascular disease (79% vs 50%; p = 0.003) than patients who presented without arrythmias. CONCLUSION: Chest pain and other cardiac symptoms were frequently observed in COVID-19 patients. Treating physicians should be aware that chest pain, arrhythmias and syncope can be presenting symptoms of COVID-19. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s12471-022-01730-7) contains supplementary material, which is available to authorized users.
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spelling pubmed-95896042022-10-24 Characteristics of chest pain in COVID-19 patients in the emergency department Sinkeldam, M. Buenen, A. G. Celiker, E. van Diepen, M. de Vos, A. M. Neth Heart J Original Article INTRODUCTION: Patients with coronavirus disease 2019 (COVID-19) can present with chest pain. However, the characteristics of this chest pain are unknown. We performed a single-centre observational study to review and summarise chest pain characteristics in COVID-19 patients at first presentation to the emergency department (ED). METHODS: We collected data on characteristics of ‘chest pain’ reported by COVID-19 patients who attended the ED of Bernhoven Hospital, the Netherlands from 4 through 30 March 2020. RESULTS: We included 497 COVID-19 patients, of whom 83 (17%) reported chest pain upon presentation to the ED. Chest pain characteristics were: present since disease onset (88%), retrosternal location (43%), experienced as compressing/pressure pain (61%), no radiation (61%) and linked to heavy coughing (39%). Patients who reported chest pain were younger than those without chest pain (61 vs 73 years; p < 0.001). Patients with syncope were older (75 vs 72 years; p = 0.017), had a shorter duration of symptoms (5 vs 7 days; p < 0.001) and reported fewer respiratory complaints (68% vs 90%; p < 0.001) than those without syncope. Patients with new-onset atrial arrhythmias presented with a shorter duration of symptoms (5 vs 7 days; p = 0.013), experienced fewer respiratory complaints (72% vs 89%; p = 0.012) and more frequently had a history of cardiovascular disease (79% vs 50%; p = 0.003) than patients who presented without arrythmias. CONCLUSION: Chest pain and other cardiac symptoms were frequently observed in COVID-19 patients. Treating physicians should be aware that chest pain, arrhythmias and syncope can be presenting symptoms of COVID-19. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s12471-022-01730-7) contains supplementary material, which is available to authorized users. Bohn Stafleu van Loghum 2022-10-21 2022-11 /pmc/articles/PMC9589604/ /pubmed/36269453 http://dx.doi.org/10.1007/s12471-022-01730-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Sinkeldam, M.
Buenen, A. G.
Celiker, E.
van Diepen, M.
de Vos, A. M.
Characteristics of chest pain in COVID-19 patients in the emergency department
title Characteristics of chest pain in COVID-19 patients in the emergency department
title_full Characteristics of chest pain in COVID-19 patients in the emergency department
title_fullStr Characteristics of chest pain in COVID-19 patients in the emergency department
title_full_unstemmed Characteristics of chest pain in COVID-19 patients in the emergency department
title_short Characteristics of chest pain in COVID-19 patients in the emergency department
title_sort characteristics of chest pain in covid-19 patients in the emergency department
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9589604/
https://www.ncbi.nlm.nih.gov/pubmed/36269453
http://dx.doi.org/10.1007/s12471-022-01730-7
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