Related Experiment Video
Updated: Jun 8, 2026
13:42
A Murine Closed-chest Model of Myocardial Ischemia and Reperfusion
Published on: July 17, 2012
Noncardiac chest pain during war.
Steven P Cohen1, Shruti G Kapoor, Victoria C Anderson-Barnes
1Department of Anesthesiology, Johns Hopkins School of Medicine, 550 N. Broadway, Baltimore, MD 21029, USA. scohen40@jhmi.edu
The Clinical Journal of Pain
|September 16, 2010
Summary
Noncardiac chest pain (NCCP) significantly impacts military personnel, but many can return to duty (RTD). Gastrointestinal causes show the highest RTD rates, highlighting potential treatment avenues.
Area of Science:
- Military medicine
- Trauma and injury research
- Public health
Background:
- Noncardiac chest pain (NCCP) presents a significant challenge in military healthcare settings.
- Understanding the disease burden and diagnostic patterns of NCCP is crucial for effective management.
Purpose of the Study:
- To determine the disease burden and diagnostic breakdown of noncardiac chest pain (NCCP) in military personnel.
- To identify factors influencing return-to-duty (RTD) rates for service members with NCCP.
Main Methods:
- Prospective data collection from 1935 service and non-service members medically evacuated for NCCP between 2004-2007.
- Review of electronic medical records to analyze factors affecting return-to-duty (RTD).
Main Results:
- 58% of 1935 NCCP patients returned to duty (RTD).
- Common causes included musculoskeletal (23.4%), unknown (23%), cardiac (21%), pulmonary (13.9%), and gastrointestinal (11.9%).
- Factors favoring RTD included being an officer, Navy service, noncardiac etiologies (GI, musculoskeletal, pulmonary, psychiatric, neuropathic), smoking, and no chest pain treatment.
Conclusions:
- NCCP is a major cause of attrition in combat operations but has a high RTD rate.
- Gastrointestinal causes are associated with the highest RTD rates among NCCP diagnoses.
Related Concept Videos
01:19Pericarditis II: Clinical Features and Diagnostic Tests
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
01:29Angina III: Clinical Manifestations and Assessment
Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
01:25Pericarditis IV: Nursing Management
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
01:27Angina II: Classification
Angina, also known as angina pectoris, is a chest pain resulting from diminished blood flow to the heart muscle and is often a symptom of coronary artery disease. Angina presents several variants with distinctive attributes, etiologies, and therapeutic approaches. The main types of angina include stable, unstable, variant (Prinzmetal's), microvascular, intractable, and silent ischemia.Stable angina is caused by atherosclerosis, which leads to the formation of plaques that narrow the coronary...
01:30Angina I: Introduction
Definition and Symptoms: Angina (angina pectoris) is chest pain or discomfort caused by myocardial ischemia, which occurs when the heart muscle receives insufficient oxygen-rich blood. It typically manifests as pressing, squeezing, or crushing sensations in the chest and may radiate to the shoulders, arms, neck, jaw, or back.Primary Cause: In a healthy state, the coronary arteries can dilate (widen) to increase blood flow and meet the increased oxygen demand during physical activity or...
01:20Angina V: Nursing Management
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...