Table 2. Baseline characteristics, investigations, and outcomes for patients referred for further evaluation of chest pain.
Characteristic |
Typical (N=24) |
Atypical (N=60) |
Non-anginal (N=74) |
---|---|---|---|
Known coronary artery disease, n (%) |
10 (42) |
14 (23) |
15 (20) |
Mean number of cardiovascular risk factors ± SD |
2.3 ± 1.3 |
1.8 ± 1.0 |
1.5 ± 1.1 |
Investigations, n (%) | |||
CTCA |
5 (21) |
26 (43) |
11 (15) |
Stress testing |
6 (25) |
4 (7) |
4 (5) |
Invasive coronary angiography |
8 (33) |
5 (8)* |
2 (3) |
Echocardiography |
10 (42) |
23 (38) |
28 (38) |
Cardiac magnetic resonance imaging |
1 (4) |
0 (0) |
1 (1) |
Ambulatory blood pressure monitor |
0 (0) |
1 (3) |
2 (3) |
Holter monitor |
0 (0) |
0 (0) |
2 (3) |
No additional investigations |
7 (29) |
16 (27) |
31 (42) |
Safety outcomes, n (%) | |||
Direct admission from clinic |
4 (17) |
2 (3) |
1 (1) |
90-day mortality |
0 (0) |
0 (0) |
0 (0) |
90-day major adverse cardiovascular events |
1 (4) |
0 (0) |
0 (0) |
90-day all-cause unscheduled re-presentation |
5 (21) |
11 (18) |
12 (16) |
90-day unscheduled re-presentation with same presenting complaint |
2 (8) |
12 (20) |
6 (8) |
Diagnoses, n (%) | |||
Unstable angina |
2 (8) |
1 (3) |
0 (0) |
Stable angina |
14 (58) |
20 (33) |
3 (4) |
Other cardiac diagnosis Atrial fibrillation Hypertension Heart failure Pericarditis Valvular disease |
2 (8) 1 (4) 0 (0) 1 (4) 0 (0) 1 (4) |
2 (3) 0 (0) 2 (3) 0 (0) 0 (0) 0 (0) |
7 (10) 2 (3) 2 (3) 1 (1) 2 (3) 0 (0) |
Non-cardiac pain |
5 (21) |
36 (60) |
64 (87) |
Did not attend |
0 (0) |
1 (3) |
0 (0) |
*One patient presenting with atypical symptoms was offered, but declined, invasive coronary angiography.
Key: CTCA = computed tomographic coronary angiography; SD = standard deviation