A qualitative analysis on Cardiologists regarding management of chest pain in department of a tertiary care hospital of Ranchi, Jharkhand.

Santosh Kumar Soren; Shashi Bhushan Singh

Volume : VII, Issue : VII, July - 2018

A qualitative analysis on Cardiologists regarding management of chest pain in department of a tertiary care hospital of Ranchi, Jharkhand.

Santosh Kumar Soren, Shashi Bhushan Singh

Abstract :

Background–Chest pain is a common challenge for clinicians in the OPD or emergency department.Aim and objectives–1. To assess cardiologists insight on chest pain.2. To find out quick management of chest pain. Material and methods–It was a qualitative study. Total duration of study was 3 months (July 2017–Sep 2017),conducted in Cardiology department of RIMS and R.P.S Super–speciality Hospital,Ranchi. A total of five cardiologist were selected and in depth interview was taken after getting their written consent. Results–All the cardiologists stated that chest pain is a non–specific symptom. It may be of cardiac or non – cardiac origin.It differs from severe form to relatively less harmful form .Character of IHD related pain isretro–sternal , heaviness and vague, may be radiating to left arm, throat or back persisting for more than 5 mins associated with perspiration, dyspnoea, dizziness as told by most of the cardiologists.Majority agreed on that fact that clinical history is very important in diagnosis and evaluation of chest pain.Various investigation likeECG,Echocardiography, cardiac enzymes estimation (troponin T and I,CKMB), chest X–ray, USG abdomen, coronary angiography, Blood investigation ( Hb, creatinine, BUN) could be done. Treatment for cardiac chest pain includeaspirin, nitroglycerine, beta blocker, morphine, statins,streptokinase, low molecular weight heparin e.t.c depending upon the condition.Conclusion–The management of chest pain requires proper clinical history and screening by ECG and ECHO as early as possible .