Hoffmann A, Gutzwiller F, Dubach U C
MMW Munch Med Wochenschr. 1981 Sep 4;123(36):1323-6.
The incidence of different types of thoracic pain in outpatients at the Medical University Policlinic, Basel, was obtained for comparison from a random sample of the Swiss population. The data from the Rose questionnaire which was used were compared with the case histories. Of 515 patients, 233 admitted having thoracic pains. These complaints were the reason for consulting the doctor in 71 patients. Of all patients who admitted thoracic pains, 14% complained of typical ischemic pains and 60% of unspecific thoracic pains. Perusal of the case histories showed that the doctor was only able to distinguish between coronary heart disease, other organic causes and functional complaints after selective history taking and clinical examination in 89% angina pectoris and 74% unspecific thoracic pains.
为了进行比较，我们从瑞士人群的随机样本中获取了巴塞尔医科大学门诊部不同类型胸痛的发病率。我们将所使用的罗斯问卷数据与病历进行了比较。在515名患者中，233人承认有胸痛症状。在71名患者中，这些症状是他们咨询医生的原因。在所有承认有胸痛的患者中，14%抱怨有典型的缺血性疼痛，60%抱怨有非特异性胸痛。查阅病历显示，在进行选择性病史采集和临床检查后，医生仅能在89%的心绞痛患者和74%的非特异性胸痛患者中区分出冠心病、其他器质性病因和功能性症状。
