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Pleuritic chest pain

MedGen UID:
3357
•Concept ID:
C0008033
•
Sign or Symptom
Synonym: Pleuritic pain
SNOMED CT: Painful breathing -pleurodynia (2237002); Pleurodynia (2237002); Pleuralgia (2237002); Pleural pain (2237002); Pleuritic pain (2237002)
 
HPO: HP:0033771

Definition

Pleuritic chest pain is characterized by sudden and intense sharp, stabbing, or burning pain in the chest when inhaling and exhaling. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPleuritic chest pain

Professional guidelines

PubMed

The diagnosis and management of pulmonary embolism.
Toplis E, Mortimore G
Br J Nurs 2020 Jan 9;29(1):22-26. doi: 10.12968/bjon.2020.29.1.22. PMID: 31917939
Guidelines for the Evaluation and Treatment of Pneumonia.
Grief SN, Loza JK
Prim Care 2018 Sep;45(3):485-503. doi: 10.1016/j.pop.2018.04.001. PMID: 30115336Free PMC Article
Pleuritic Chest Pain: Sorting Through the Differential Diagnosis.
Reamy BV, Williams PM, Odom MR
Am Fam Physician 2017 Sep 1;96(5):306-312. PMID: 28925655

Recent clinical studies

Etiology

Diagnosis, Risk Stratification, and Treatment of Pericarditis: A Review.
Cremer PC, Klein AL, Imazio M
JAMA 2024 Oct 1;332(13):1090-1100. doi: 10.1001/jama.2024.12935. PMID: 39235771
Myocarditis and Pericarditis.
Spotts PH, Zhou F
Prim Care 2024 Mar;51(1):111-124. Epub 2023 Aug 26 doi: 10.1016/j.pop.2023.07.006. PMID: 38278565
The diagnosis and management of pulmonary embolism.
Toplis E, Mortimore G
Br J Nurs 2020 Jan 9;29(1):22-26. doi: 10.12968/bjon.2020.29.1.22. PMID: 31917939
Omadacycline for Community-Acquired Bacterial Pneumonia.
Stets R, Popescu M, Gonong JR, Mitha I, Nseir W, Madej A, Kirsch C, Das AF, Garrity-Ryan L, Steenbergen JN, Manley A, Eckburg PB, Tzanis E, McGovern PC, Loh E
N Engl J Med 2019 Feb 7;380(6):517-527. doi: 10.1056/NEJMoa1800201. PMID: 30726692
Post-pericardiotomy Syndrome.
Tamarappoo BK, Klein AL
Curr Cardiol Rep 2016 Nov;18(11):116. doi: 10.1007/s11886-016-0791-0. PMID: 27761786

Diagnosis

Myocarditis and Pericarditis.
Spotts PH, Zhou F
Prim Care 2024 Mar;51(1):111-124. Epub 2023 Aug 26 doi: 10.1016/j.pop.2023.07.006. PMID: 38278565
The diagnosis and management of pulmonary embolism.
Toplis E, Mortimore G
Br J Nurs 2020 Jan 9;29(1):22-26. doi: 10.12968/bjon.2020.29.1.22. PMID: 31917939
Guidelines for the Evaluation and Treatment of Pneumonia.
Grief SN, Loza JK
Prim Care 2018 Sep;45(3):485-503. doi: 10.1016/j.pop.2018.04.001. PMID: 30115336Free PMC Article
Pleuritic Chest Pain: Sorting Through the Differential Diagnosis.
Reamy BV, Williams PM, Odom MR
Am Fam Physician 2017 Sep 1;96(5):306-312. PMID: 28925655
Diagnostic approach to pleural effusion.
Saguil A, Wyrick K, Hallgren J
Am Fam Physician 2014 Jul 15;90(2):99-104. PMID: 25077579

Therapy

Diagnosis, Risk Stratification, and Treatment of Pericarditis: A Review.
Cremer PC, Klein AL, Imazio M
JAMA 2024 Oct 1;332(13):1090-1100. doi: 10.1001/jama.2024.12935. PMID: 39235771
Omadacycline for Community-Acquired Bacterial Pneumonia.
Stets R, Popescu M, Gonong JR, Mitha I, Nseir W, Madej A, Kirsch C, Das AF, Garrity-Ryan L, Steenbergen JN, Manley A, Eckburg PB, Tzanis E, McGovern PC, Loh E
N Engl J Med 2019 Feb 7;380(6):517-527. doi: 10.1056/NEJMoa1800201. PMID: 30726692
Guidelines for the Evaluation and Treatment of Pneumonia.
Grief SN, Loza JK
Prim Care 2018 Sep;45(3):485-503. doi: 10.1016/j.pop.2018.04.001. PMID: 30115336Free PMC Article
Pericarditis.
Rahman A, Saraswat A
Aust Fam Physician 2017 Nov;46(11):810-814. PMID: 29101915
Post-pericardiotomy Syndrome.
Tamarappoo BK, Klein AL
Curr Cardiol Rep 2016 Nov;18(11):116. doi: 10.1007/s11886-016-0791-0. PMID: 27761786

Prognosis

Diagnosis, Risk Stratification, and Treatment of Pericarditis: A Review.
Cremer PC, Klein AL, Imazio M
JAMA 2024 Oct 1;332(13):1090-1100. doi: 10.1001/jama.2024.12935. PMID: 39235771
Potentially fatal outcomes associated with clozapine.
Li KJ, Gurrera RJ, Delisi LE
Schizophr Res 2018 Sep;199:386-389. Epub 2018 Mar 2 doi: 10.1016/j.schres.2018.02.058. PMID: 29503232
Post-pericardiotomy Syndrome.
Tamarappoo BK, Klein AL
Curr Cardiol Rep 2016 Nov;18(11):116. doi: 10.1007/s11886-016-0791-0. PMID: 27761786
Double trouble.
Martín M, Ríos E, García-Ruíz JM, Corros C, Hevia S, de la Hera JM, Morís C
Int J Cardiovasc Imaging 2012 Apr;28(4):685-6. Epub 2010 Dec 1 doi: 10.1007/s10554-010-9758-1. PMID: 21120610
Purulent pericarditis.
Kennedy C, McEvoy S
Ir J Med Sci 2009 Mar;178(1):97-9. Epub 2008 Jan 23 doi: 10.1007/s11845-008-0119-1. PMID: 18214575

Clinical prediction guides

Diagnosis, Risk Stratification, and Treatment of Pericarditis: A Review.
Cremer PC, Klein AL, Imazio M
JAMA 2024 Oct 1;332(13):1090-1100. doi: 10.1001/jama.2024.12935. PMID: 39235771
The diagnosis and management of pulmonary embolism.
Toplis E, Mortimore G
Br J Nurs 2020 Jan 9;29(1):22-26. doi: 10.12968/bjon.2020.29.1.22. PMID: 31917939
Pulmonary thromboembolism in an emergency hospital: Are our patients different?
Balahura AM, Guţă A, Mihalcea V, Weiss E, Dorobanţu M, Bartoş D, Bădilă E, Dan GA
Rom J Intern Med 2017 Dec 1;55(4):237-244. doi: 10.1515/rjim-2017-0026. PMID: 28667815
Double trouble.
Martín M, Ríos E, García-Ruíz JM, Corros C, Hevia S, de la Hera JM, Morís C
Int J Cardiovasc Imaging 2012 Apr;28(4):685-6. Epub 2010 Dec 1 doi: 10.1007/s10554-010-9758-1. PMID: 21120610
Diagnosis and treatment of community-acquired pneumonia.
Lutfiyya MN, Henley E, Chang LF, Reyburn SW
Am Fam Physician 2006 Feb 1;73(3):442-50. PMID: 16477891

Recent systematic reviews

Chlamydia pneumoniae-associated pleuropericarditis: a case report and systematic review of the literature.
Kyriakoulis KG, Kollias A, Diakos GE, Trontzas IP, Fyta E, Syrigos NK, Poulakou G
BMC Pulm Med 2021 Nov 22;21(1):380. doi: 10.1186/s12890-021-01743-9. PMID: 34809625Free PMC Article
The prevalence and clinical features of pulmonary embolism in patients with AE-COPD: A meta-analysis and systematic review.
Fu X, Zhong Y, Xu W, Ju J, Yu M, Ge M, Gu X, Chen Q, Sun Y, Huang H, Shen L
PLoS One 2021;16(9):e0256480. Epub 2021 Sep 2 doi: 10.1371/journal.pone.0256480. PMID: 34473738Free PMC Article
Postpericardiotomy Syndrome after Cardiac Operations.
Yuan SM
J Coll Physicians Surg Pak 2020 Jan;30(1):62-66. doi: 10.29271/jcpsp.2020.01.62. PMID: 31931935
Prevalence and Localization of Pulmonary Embolism in Unexplained Acute Exacerbations of COPD: A Systematic Review and Meta-analysis.
Aleva FE, Voets LWLM, Simons SO, de Mast Q, van der Ven AJAM, Heijdra YF
Chest 2017 Mar;151(3):544-554. Epub 2016 Aug 12 doi: 10.1016/j.chest.2016.07.034. PMID: 27522956
Association of the shrinking lung syndrome in systemic lupus erythematosus with pleurisy: a systematic review.
Toya SP, Tzelepis GE
Semin Arthritis Rheum 2009 Aug;39(1):30-7. Epub 2008 Jun 30 doi: 10.1016/j.semarthrit.2008.04.003. PMID: 18585760

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