Pellegrino M J
Regional Rehabilitation Center, Timken Mercy Medical Center, Canton, OH 44708.
Arch Phys Med Rehabil. 1990 Jun;71(7):526-8.
Four patients with atypical chest pain initially believed to be cardiac in origin were subsequently found to have primary fibromyalgia. All patients had characteristic findings of this condition, and the diagnosis was confirmed by demonstrating muscle tender and trigger points which reproduced the chest symptoms. None were found to have significant cardiac conditions, and all improved after a specific treatment program. Primary fibromyalgia should be suspected in patients with atypical chest pain. Appropriate treatment can result in optimal medical management and avoidance of costly medical tests.
四名最初被认为胸痛源于心脏问题的非典型胸痛患者，后来被发现患有原发性纤维肌痛。所有患者都有这种疾病的典型表现，通过证明肌肉压痛和触发点可再现胸部症状来确诊。未发现有严重的心脏疾病，并且所有患者在经过特定治疗方案后病情均有改善。对于非典型胸痛患者应怀疑原发性纤维肌痛。适当的治疗可实现最佳医疗管理并避免昂贵的医学检查。
