| ISSN |
1949-8462 (online) |
| Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Cardiac & Cardiovascular Systems |
| Manuscript Type |
Retrospective Cohort Study |
| Article Title |
Accuracy of gestalt perception of acute chest pain in predicting coronary artery disease
|
| Manuscript Source |
Invited Manuscript |
| All Author List |
Cláudio Marcelo Bittencourt das Virgens, Laudenor Lemos Jr, Márcia Noya-Rabelo, Manuela Campelo Carvalhal, Antônio Maurício dos Santos Cerqueira Junior, Fernanda Oliveira de Andrade Lopes, Nicole Cruz de Sá, Jéssica Gonzalez Suerdieck, Thiago Menezes Barbosa de Souza, Vitor Calixto de Almeida Correia, Gabriella Sant'Ana Sodré, André Barcelos da Silva, Felipe Kalil Beirão Alexandre, Felipe Rodrigues Marques Ferreira and Luís Cláudio Lemos Correia |
| Funding Agency and Grant Number |
|
| Corresponding Author |
Luís Cláudio Lemos Correia, MD, PhD, Research Coordinator of Hospital São Rafael, Associate Professor of Bahiana School of Medicine and Public Health, Department of Cardiology, Hospital São Rafael, Av. Princesa Leopoldina 19/402, Salvador, Bahia 41253-190,
Brazil. luisclcorreia@gmail.com
|
| Key Words |
Acute chest pain; Clinical judgment; Gestalt; Coronary artery disease; Acute coronary syndrome |
| Core Tip |
In the scenario of acute chest pain, individual features of chest pain presentation are intuitively combined to form physician’s impression, by a process called “gestalt”. Physicians commonly assess probability of disease by unstructured clinical judgment. Although commonly used and presumed to be accurate, diagnostic assessment by gestalt of acute chest pain lacks vali-dation. In the present manuscript, we investigated the accuracy of gestalt in the prediction of coronary artery disease (CAD). Our results indicate that clinical judg-ment (gestalt) of acute chest pain characteristics has low diagnostic accuracy for obstructive CAD. Thus, physicians should be cautious when relying on chest pain characteristics and investigators should redirect their focus to identify validated predictors.
|
| Publish Date |
2017-03-26 19:18 |
| Citation |
das Virgens CMB, Lemos Jr L, Noya-Rabelo M, Carvalhal MC, Cerqueira Junior AMS, Lopes FOA, de Sá NC, Suerdieck JG, de Souza TMB, Correia VCA, Sodré GS, da Silva AB, Alexandre FKB, Ferreira FRM, Correia LCL. Accuracy of gestalt perception of acute chest pain in predicting coronary artery disease. World J Cardiol 2017; 9(3): 241-247 |
| URL |
http://www.wjgnet.com/1949-8462/full/v9/i3/241.htm |
| DOI |
http://dx.doi.org/10.4330/wjc.v9.i3.241 |
