Abstract
AbstractBackground: Various syndromes of chest pain caused by gastro-esophageal reflux disease, inflammation or trauma to the chest wall structures have been described. These syndromes should be differentiated from serious disorders such as myocardial ischemia, pulmonary embolism, aortic dissection and pancreatitis. Only few case reports exist that describe pain in the xyphoid region (i.e. xiphodynia) that mimicked serious causes of chest pain, and lead to unnecessary, costly and sometimes invasive evaluations.Objectives: To describe a cohort of adult patients suffering from xiphodynia. Additionally, we reviewed the patient's charts for unnecessary diagnostic procedures and relate to the diagnosis and treatment of xiphodynia.Methods: An 18-month observational study of patients suffering from pain in the xyphoid region was conducted in a 40-bed medical ward at a tertiary care university hospital. Patient's charts were reviewed for evaluation, diagnostic procedures and treatment.Results: Out of 428 patients...
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