36-Year-Old Man with Chest Pain

DOI: 10.3238/zfa.2014.0451-0453

german translation / full article

Ute Schnell

Keywords: DEGAM Guideline Chest Pain Perimyokarditis Follow up Study

Summary: Background: With 1,5 % of all symptomatic patient contacts chest pain is a frequent reason for encounter in family medicine

Case report: A 36-year-old man introduced himself with the symptoms of cough, fever and sore throat at his family doctor’s surgery. Only the follow-up study allowed the detection of a change in the symptom profile.

Conclusions: A systematic approach, based on the DEGAM guideline “chest pain” could uncover a rare but preventable dangerous cause: acute perimyocarditis. Family physicians’ procedures in daily practice based on the guideline recommendations are discussed.

(State: 17.11.2014)

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