DEGAM-Guideline Number 15: Chest Pain in Primary Care
DOI: 10.3238/zfa.2011.0182german translation / full article
Introduction: Chest pain is a frequent complaint in primary care. Aetiologies differ with regard to frequency, prognosis and management. Based on the history and physical examination, family practitioners (FPs) determine an initial diagnosis and decide if and which further investigations are necessary. Previous guidelines have emphasized laboratory tests and imaging; the patient’s history, physical examination and first impressions in primary care have often been neglected. This guideline gives evidence based recommendations for the early phase of the diagnostic process of patients presenting with chest pains in primary care.
Methods: The guideline was developed and evaluated according to the standard of the German College of General Practitioners and Family Physicians (DEGAM). This standard includes systematic reviews of the literature for relevant topics, a structured review by FPs in academia and/or practice and a systematic practice based evaluation of the guideline in clinical practice.
Results: The guideline gives evidence-based recommendations which clinical findings are helpful in the initial evaluation of patients with chest pains. We consider further investigations and therapeutic interventions only in special situations.