Noncardiac chest pain

The role of the cardiologist - A national survey

Wai Man Wong, Sara Risner-Adler, Joy Beeler, Sara Habib, Jimmy Bautista, Steven Goldman, Ronnie Fass

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background: The current assumption is that noncardiac chest pain (NCCP) patients diagnosed by a cardiologist are commonly referred to a gastroenterologist for further evaluation. Thus far, there are no studies that assess the clinical approach and referral patterns of cardiologists when evaluating subjects with NCCP. Aim: To determine the extent of involvement of cardiologists in the management of NCCP patients. Methods: Cardiologists were randomly selected from the American College of Cardiology national membership list and sent a 20-item questionnaire that included demographic information, characteristics of practice, preferences of diagnostic tests, referral patterns, and treatment plans. Results: A total of 246 (33%) cardiologists returned the questionnaire. A mean of 12.6% of patients were diagnosed with NCCP and 45.5% were treated by a cardiologist in the past 6 months. Of the NCCP patients that were referred, most ended up in the primary care physician clinic (45.9%) followed by gastroenterologist clinic (29.3%). Most cardiologists are either comfortable (35%) or very comfortable (43.1%) in diagnosing NCCP. Proton pump inhibitors (44.9%), life-style modifications (28.7%), and H2 blockers (11.8%) are the three most commonly used therapeutic modalities for NCCP. Conclusion: Cardiologists manage about half of the diagnosed NCCP patients by themselves. Of those NCCP patients that are referred, cardiologists prefer to send them to a primary care physician rather than a gastroenterologist.

Original languageEnglish (US)
Pages (from-to)858-862
Number of pages5
JournalJournal of Clinical Gastroenterology
Volume39
Issue number10
DOIs
StatePublished - Nov 2005

Fingerprint

Chest Pain
Primary Care Physicians
Referral and Consultation
Cardiologists
Surveys and Questionnaires
Proton Pump Inhibitors
Routine Diagnostic Tests
Life Style
Demography
Therapeutics

Keywords

  • Cardiologist
  • Gastroesophageal reflux disease
  • Non-cardiac chest pain

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Noncardiac chest pain : The role of the cardiologist - A national survey. / Wong, Wai Man; Risner-Adler, Sara; Beeler, Joy; Habib, Sara; Bautista, Jimmy; Goldman, Steven; Fass, Ronnie.

In: Journal of Clinical Gastroenterology, Vol. 39, No. 10, 11.2005, p. 858-862.

Research output: Contribution to journalArticle

Wong, Wai Man ; Risner-Adler, Sara ; Beeler, Joy ; Habib, Sara ; Bautista, Jimmy ; Goldman, Steven ; Fass, Ronnie. / Noncardiac chest pain : The role of the cardiologist - A national survey. In: Journal of Clinical Gastroenterology. 2005 ; Vol. 39, No. 10. pp. 858-862.
@article{03cf383ea16842a5be96e89d9aeb48ee,
title = "Noncardiac chest pain: The role of the cardiologist - A national survey",
abstract = "Background: The current assumption is that noncardiac chest pain (NCCP) patients diagnosed by a cardiologist are commonly referred to a gastroenterologist for further evaluation. Thus far, there are no studies that assess the clinical approach and referral patterns of cardiologists when evaluating subjects with NCCP. Aim: To determine the extent of involvement of cardiologists in the management of NCCP patients. Methods: Cardiologists were randomly selected from the American College of Cardiology national membership list and sent a 20-item questionnaire that included demographic information, characteristics of practice, preferences of diagnostic tests, referral patterns, and treatment plans. Results: A total of 246 (33{\%}) cardiologists returned the questionnaire. A mean of 12.6{\%} of patients were diagnosed with NCCP and 45.5{\%} were treated by a cardiologist in the past 6 months. Of the NCCP patients that were referred, most ended up in the primary care physician clinic (45.9{\%}) followed by gastroenterologist clinic (29.3{\%}). Most cardiologists are either comfortable (35{\%}) or very comfortable (43.1{\%}) in diagnosing NCCP. Proton pump inhibitors (44.9{\%}), life-style modifications (28.7{\%}), and H2 blockers (11.8{\%}) are the three most commonly used therapeutic modalities for NCCP. Conclusion: Cardiologists manage about half of the diagnosed NCCP patients by themselves. Of those NCCP patients that are referred, cardiologists prefer to send them to a primary care physician rather than a gastroenterologist.",
keywords = "Cardiologist, Gastroesophageal reflux disease, Non-cardiac chest pain",
author = "Wong, {Wai Man} and Sara Risner-Adler and Joy Beeler and Sara Habib and Jimmy Bautista and Steven Goldman and Ronnie Fass",
year = "2005",
month = "11",
doi = "10.1097/01.mcg.0000180635.92313.3b",
language = "English (US)",
volume = "39",
pages = "858--862",
journal = "Journal of Clinical Gastroenterology",
issn = "0192-0790",
publisher = "Lippincott Williams and Wilkins",
number = "10",

}

TY - JOUR

T1 - Noncardiac chest pain

T2 - The role of the cardiologist - A national survey

AU - Wong, Wai Man

AU - Risner-Adler, Sara

AU - Beeler, Joy

AU - Habib, Sara

AU - Bautista, Jimmy

AU - Goldman, Steven

AU - Fass, Ronnie

PY - 2005/11

Y1 - 2005/11

N2 - Background: The current assumption is that noncardiac chest pain (NCCP) patients diagnosed by a cardiologist are commonly referred to a gastroenterologist for further evaluation. Thus far, there are no studies that assess the clinical approach and referral patterns of cardiologists when evaluating subjects with NCCP. Aim: To determine the extent of involvement of cardiologists in the management of NCCP patients. Methods: Cardiologists were randomly selected from the American College of Cardiology national membership list and sent a 20-item questionnaire that included demographic information, characteristics of practice, preferences of diagnostic tests, referral patterns, and treatment plans. Results: A total of 246 (33%) cardiologists returned the questionnaire. A mean of 12.6% of patients were diagnosed with NCCP and 45.5% were treated by a cardiologist in the past 6 months. Of the NCCP patients that were referred, most ended up in the primary care physician clinic (45.9%) followed by gastroenterologist clinic (29.3%). Most cardiologists are either comfortable (35%) or very comfortable (43.1%) in diagnosing NCCP. Proton pump inhibitors (44.9%), life-style modifications (28.7%), and H2 blockers (11.8%) are the three most commonly used therapeutic modalities for NCCP. Conclusion: Cardiologists manage about half of the diagnosed NCCP patients by themselves. Of those NCCP patients that are referred, cardiologists prefer to send them to a primary care physician rather than a gastroenterologist.

AB - Background: The current assumption is that noncardiac chest pain (NCCP) patients diagnosed by a cardiologist are commonly referred to a gastroenterologist for further evaluation. Thus far, there are no studies that assess the clinical approach and referral patterns of cardiologists when evaluating subjects with NCCP. Aim: To determine the extent of involvement of cardiologists in the management of NCCP patients. Methods: Cardiologists were randomly selected from the American College of Cardiology national membership list and sent a 20-item questionnaire that included demographic information, characteristics of practice, preferences of diagnostic tests, referral patterns, and treatment plans. Results: A total of 246 (33%) cardiologists returned the questionnaire. A mean of 12.6% of patients were diagnosed with NCCP and 45.5% were treated by a cardiologist in the past 6 months. Of the NCCP patients that were referred, most ended up in the primary care physician clinic (45.9%) followed by gastroenterologist clinic (29.3%). Most cardiologists are either comfortable (35%) or very comfortable (43.1%) in diagnosing NCCP. Proton pump inhibitors (44.9%), life-style modifications (28.7%), and H2 blockers (11.8%) are the three most commonly used therapeutic modalities for NCCP. Conclusion: Cardiologists manage about half of the diagnosed NCCP patients by themselves. Of those NCCP patients that are referred, cardiologists prefer to send them to a primary care physician rather than a gastroenterologist.

KW - Cardiologist

KW - Gastroesophageal reflux disease

KW - Non-cardiac chest pain

UR - http://www.scopus.com/inward/record.url?scp=27144532184&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=27144532184&partnerID=8YFLogxK

U2 - 10.1097/01.mcg.0000180635.92313.3b

DO - 10.1097/01.mcg.0000180635.92313.3b

M3 - Article

VL - 39

SP - 858

EP - 862

JO - Journal of Clinical Gastroenterology

JF - Journal of Clinical Gastroenterology

SN - 0192-0790

IS - 10

ER -