What is the value of a clinical impression of costochondritis in the evaluation of chest pain?
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Among adult patients presenting to the emergency department with chest pain, approximately 6% of those with tenderness on chest wall examination will be diagnosed with a myocardial infarction. (SOR: B, based on a cohort study.) However, receiving a diagnosis of costochondritis decreases the number of admissions and evaluations for chest pain. (SOR: C, based small observational studies.)
Evidence Based Practice 14(1): 09-10.