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Patients with chest pain but without angiographic signs of abnormal coronary arteries were more likely to suffer from psychological symptoms of anxiety, somatoform disorder, and hypochondria than the general population, according to a study published online November 3 in Open Heart."These results support the opinion that patients with non-cardiac chest pain should receive a psychological or psychiatric examination in order to initiate appropriate psychosomatic therapy early if necessary," the authors write. "So it is probably possible to prevent redundant somatic diagnostics and treatment and to improve the quality of life of these patients significantly."

Open Heart 2014;1:doi:10.1136/openhrt-2014-000093