chest pain

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Etiology

* potentially lethal conditions

# relief of pain with nitroglycerin NOT helpful in establishing etiology[6][7]

History

Clinical manifestations

* accuracy of most chest pain characteritics in the diagnosis of acute myocardial infarction (AMI) is low[14]

Laboratory

* if high-risk, treat as acute coronary syndrome

Diagnostic procedures

* non-invasive testing for acute chest pain in the ED (coronary CT angiography, treadmill test, stress echocardiography) is associated with longer hospital stays, but no better clinical outcomes beyond ECG & serum troponin-I[29]

Radiology

Complications

  • patients presenting with chest pain for the 1st time who do not receive a diagnosis within 6 months are at increased cardiovascular risk in subsequent years[25]

Differential diagnosis

Management

Notes

More general terms

More specific terms

Additional terms

References

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  3. Harrison's Principles of Internal Medicine, 14th ed. Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 58-65
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