The Revelation of Atypical Chest Tightness: a Case Report from a Patient at a Community Outpatient Clinic

Background: Chest tightness is a common symptom, mostly accompanied by chest pain symptoms, and often caused by coronary heart disease and other cardiogenic diseases. Communities are the preferred institution for people to see doctors and often act as gatekeepers. As the first doctor, the general practitioner should have the comprehensive ability of general practice. Case presentation: We present a case of atypical chest tightness in a 50-year-old man. After adopting a patient-centered diagnosis and treatment approach, the relevant examinations were conducted and the underlying cause of the symptoms was eventually pinpointed. Chest tightness does not always originate from cardiac diseases. Digestive tract disorders are also among the potential causes. The clinical thinking of general practice plays a vital role. Conclusions: This paper meticulously clarified the consultation process and subsequent follow-up of an unusual case of chest tightness within the community, highlighting the community’s focal points, the suitable treatment approach, and the distinctive comprehensive management and follow-up strategies. In general practice, the diagnosis and treatment mode, the ability to identify diseases and the advantages of continuous follow-up and two-way referral are prominent. Keywords : Community, Consultation, Chest Tightness, General practice, General practitioner.