Letters

Underlying psychological distress must be addressed in chest pain

BMJ 2000; 321 doi: https://doi.org/10.1136/bmj.321.7258.452/b (Published 12 August 2000) Cite this as: BMJ 2000;321:452
  1. Catherine Kinane, senior registrar in psychiatry
  1. Shaftesbury Clinic, Springfield University Hospital, London SW17 7DJ

    EDITOR—The editorial by Capewell and McMurray states that a rapid cardiological assessment service may reduce admissions of patients with chest pain.1 Such clinics apparently offer risk stratification, an exercise electrocardiogram, and review by a skilled hospital cardiologist. This approach also reduces worry about missed cases of coronary heart disease.

    Capewell and Murray quote Davie et al who described the 49% of their series of 317 patients with non-cardiac chest pain as being immediately reassured by a …

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