Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften Toetsvragen Web-tv Video Audio
Tips voor Mijn BSL
Inloggen

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

THIM Hogeschool voor Fysiotherapie heeft ervoor gezorgd dat je Mijn BSL eenvoudig en snel kunt raadplegen. Je kunt je links eenvoudig registreren. Met deze gegevens kun je thuis, of waar ook ter wereld toegang krijgen tot Mijn BSL. Heb je een vraag, neem dan contact op met helpdesk@thim.nl.

» Andere revante producten voor THIM studenten en medewerkers.

Registreer

Om ook buiten de locaties van THIM, thuis bijvoorbeeld, van Mijn BSL gebruik te kunnen maken, moet je jezelf eenmalig registreren. Dit kan alleen vanaf een computer op een van de locaties van THIM.

Eenmaal geregistreerd kun je thuis of waar ook ter wereld onbeperkt toegang krijgen tot Mijn BSL.

Login

Als u al geregistreerd bent, hoeft u alleen maar in te loggen om onbeperkt toegang te krijgen tot Mijn BSL.

Inloggen
Top
Netherlands Heart Journal
Gepubliceerd in:

01-11-2010 | Medicina Antiqua

Chest pain and angina pectoris – or the ugly swan and the beautiful duckling

Auteur: C. van Tellingen

Gepubliceerd in: Netherlands Heart Journal | Uitgave 11/2010

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

The original description of Heberden’s angina pectoris is put forward to stress the importance of proper history-taking in identifying patients. In a marketdriven approach to improve cost-effectiveness in healthcare, angina pectoris as an entity seems stripped to its bare minimum: chest and pain. The diagnostic yield of exercise testing, however, depends on the pretest likelihood of disease and therefore knowledge of its clinical utility and pitfalls is essential to refine an initial and subjective diagnosis based on anamnesis. Nowadays chest pain units attempt to improve diagnostic accuracy by submitting all sorts of patients to the (stress) test. In the end protocol-driven policies like these may very well prove to be contraproductive when fundamentals are ignored. (Neth Heart J 2010;18:561–4.)
vorige artikel An interesting electrocardiogram
Literatuur
1.
Io vivat, an international student song, originally from Leiden University, included in many student songbooks and almanacs in the nineteenth century.
2.
Snellen HA. A Disorder of the Breast. Collection of original texts on ischaemic heart disease. Kooyker Scientific Publications. Rotterdam. 1976.
3.
Wirkner K, Sperlagh B, Illes P. P2X3 receptor involvement in pain states. Mol Neurobiol. 2007;36:165–183PubMedCrossRef
4.
Burnstock G. Dual control of vascular tone and remodelling by ATP released from nerves and endothelial cells. Pharmacol Rep. 2008;60:12–20.PubMed
5.
Chandler MJ, Zhang J, Foreman RD. Vagal, sympathetic and somatic sensory inputs to upper cervical (C1-C3) spinothalamic tract neurons in monkeys. J Neurophysiol. 1996;76:2555–2567.PubMed
6.
Myers DF. Vagus nerve pain referred to the craniofacial region. A case report and literature review with implications for referred cardiac pain. Br Dent J. 2008;204:187–189.PubMedCrossRef
7.
Granot M; Khoury R, Berger G, Krivoy N, Braun E, Aronson D, et al. Clinical and experimental pain perception is attenuated in patients with painless myocardial infarction. Pain. 2007;133:120–127.PubMedCrossRef
8.
Kannel WB, Feinleib M. Natural History of angina pectoris in the Framingham study. Prognosis and survival. Am J Cardiol. 1972;29:154–163.PubMedCrossRef
9.
Zukel WJ, Cohen BM, Mattingly TW, Hrubec Z. Survival following first diagnosis of coronary heart disease. Am Heart J. 1969;78:159–170.PubMedCrossRef
10.
Rosengren A, Wilhelmsen L, Hagman M, Wedel H. Natural history of myocardial infarction and angina pectoris in a general population sample of middle-aged men: a 16-year follow-up of the Primary Prevention Study, Goteborg, Sweden. J Intern Med. 1998;244:495–505.PubMedCrossRef
11.
Grobbee DE, van der Bom JG, Bots ML, de Bruijne MC, Mosterd A, Hoes AW. Coronary heart disease in the elderly; the ERGO study (Erasmus Rotterdam Health and the Elderly). Ned Tijdschr Geneeskd. 1995;139:1978–1982.PubMed
12.
Clarke R, Shipley M, Breeze F, Collins R, Marmot M, Halsey J, Fletcher A, Hemmingway H. Survival in relation to angina symptoms and diagnosis among men aged 70–90 years: the Whitehall Study. Eur J Cardiovasc Prev Rehabil. 2007;14:280–286.PubMedCrossRef
13.
Berecki-Gisolf J, Humphreyes-Reid L, Wilson A, Dobson A. Angina symptoms are associated with mortality in older women with ischemic heart disease. Circulation. 2009;120:2330–2336.PubMedCrossRef
14.
Bougard C, Moussay S, Gauthier A, Espié S, Davenne D. Effects of waking time and breakfast intake prior to evaluation of psychomotor performance in the early morning. Chronobiol Int. 2009;26:324–336.PubMedCrossRef
15.
Ramadan JM, Barac-Nieto M. Cardio-respiratory responses to moderately heavy aerobic exercise during the Ramadan fasts. Saudi Med J. 2000;21:238–244.PubMed
16.
Rijneke RD, Ascoop CA, Talmon JL. Clinical significance of upsloping ST segments in exercise electrocardiography. Circulation. 1980;61:671–678.PubMed
17.
Agyemang C, Vaartjes I, Bots ML, van Valkengoed IG, de Munter JS, de Bruin A, et al. Difference in mortality in ethnic groups after first admittance for cardiovascular disease. (in Dutch). In: Hart en Vaatziekten in Nederland 2008. Nederlandse Hartstichting. Chapter 2. The Hague 2008.
18.
Clancy M. Chest pain units. Evidence of their usefulness is limited but encouraging. BMJ. 2002;325:116–117.PubMedCrossRef
19.
Ramakrishna G, Milavetz JJ, Zinsmeister AR, Farkouh ME, Evans RW, Allison TG, Smars PAJ, Gibbons RJ. Effect of exercise treadmill testing and stress imaging on the triage of patients with chest pain: CHEER substudy. Mayo Clin Proc. 2005;80:322–329.PubMedCrossRef
20.
Kogan A, Shapira R, Lewis BS, Tamir A, Rennert G. The use of exercise stress testing for the management of low-risk patients with chest pain. Am J Emerg Med. 2009;27:889–892.PubMedCrossRef
21.
Hermann LK, Weingart SD, Duvall WL, Henzlova MJ. The limited utility of routine cardiac stress testing in emergency department chest pain patients younger than 40 years. Ann Emerg Med. 2009;54:12–16.PubMedCrossRef
22.
Van Tellingen C. About hearsay - or reappraisal of the role of the anamnesis as an instrument of meaningful communication. Neth Heart J. 2007;15:359–362.PubMedCrossRef
Metagegevens
Titel
Chest pain and angina pectoris – or the ugly swan and the beautiful duckling
Auteur
C. van Tellingen
Publicatiedatum
01-11-2010
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 11/2010
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-010-0835-9

Andere artikelen Uitgave 11/2010

Upstream therapy in patients with early atrial fibrillation

  • Editorial

Not too old to be closed…

  • Editorial

Transcatheter device closure of atrial septal defects in patients aged 40 years and older

  • Original article

Cardiac magnetic resonance imaging in daily practice in a peripheral medical centre: description of the first 383 patients

  • Original Article

Efficacy of diagnostic tools for detecting cardiac arrhythmias: systematic literature search

  • Review Article

The tale of the three sisters

  • Case report