Clinical scenario related to cardiovascular system: is it possible to develop thoracic pain imitating a musculoskeletal disorder? A scoping review

Abstract

Background When assessing a patient presenting with thoracic pain it’s important for the physiotherapist to quickly understand if the cause is a musculoskeletal condition or a dysfunction of the cardiovascular and circulatory system. Promptly referring the patient is essential to identify potentially life-threatening conditions at an early stage.

Objectives Identifying the current state of knowledge regarding cardiovascular and circulatory systems conditions that generate a thoracic pain that resembles a musculoskeletal condition.

Study Design Scoping review

Eligibility criteria This review will incorporate studies encompassing any research design. Inclusion is limited to articles written in either English or Italian language. Our population of interest specifically includes patients experiencing thoracic pain, with no restrictions regarding age and gender, to ensure a comprehensive understanding of the condition’s impact across different demographics. The concept under investigation is the manifestation of symptoms in the thoracic region, which are attributed to cardiovascular disorders or dysfunctions. It is critical to our scope that we delineate the context by intentionally omitting studies set in emergency contexts. This exclusion criterion allows the review to narrow its focus on the tools employed in making differential diagnoses without relying on instrumental examinations, thus aiming to elucidate diagnostic strategies applicable in a non-emergent setting.

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

this study did not receive any funding

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

Yes

Data Availability

All data produced in the present work are contained in the manuscript

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