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- Stephen-John Martin and Hendrik Rost.
- School of Clinical and Surgical Sciences, University of Edinburgh, Edinburgh, UK.
- Brit J Hosp Med. 2022 Jan 2; 83 (1): 1-7.
AbstractChest pain is a common presenting complaint with a broad differential diagnosis. Even after the full array of special investigations, a cause cannot be found in some patients. Psychological factors can play a significant role in the perception of chest pain. Patients with such a psychological disturbance may not meet the full criteria for a diagnosable psychiatric illness, and thus cannot be assigned a specific diagnosis. Not knowing how to manage this situation can lead to poor rapport between doctor and patient. Through their clinical acumen, judicious use of special investigations and by forming a therapeutic alliance, clinicians can identify and help these patients.
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