Assessment of chest pain

Last reviewed: 30 May 2022
Last updated: 13 May 2022

Summary

Differentials

Common

  • Acute coronary syndrome
  • Stable angina
  • Pneumonia
  • Viral pleuritis
  • GORD
  • Costochondritis
  • Anxiety or panic disorder
Full details

Uncommon

  • Pulmonary embolism
  • Pericarditis
  • Cardiac tamponade
  • Aortic dissection
  • Aortic stenosis
  • Mitral valve prolapse
  • Pneumothorax
  • Pulmonary hypertension
  • Peptic ulcer disease
  • Oesophageal spasm
  • Acute cholecystitis
  • Acute pancreatitis
  • Herpes zoster
  • Gastritis
Full details

Contributors

Authors

James E. Brown, MD, MMM

Professor and Chair

Emergency Medicine

Wright State University Boonshoft School of Medicine

Kettering

OH

Disclosures

JEB declares that he has given expert testimony in matters related to this topic.

Acknowledgements

Dr James E. Brown would like to gratefully acknowledge Dr Marvin H. Eng and Dr Mori J. Krantz, previous contributors to this topic.

Disclosures

MHE declares that he has no competing interests. MJK is a consultant for GlaxoSmithKline.

Peer reviewers

Michael Jelinek, MD, FRACP, FACC

Cardiologist

St Vincent’s Hospital Melbourne

Associate Professor

Department of Medicine

University of Melbourne

Melbourne

Australia

Disclosures

MJ declares that he has no competing interests.

Debabrata Mukherjee, MD

Gill Foundation Professor of Interventional Cardiology

Director of Cardiac Catheterization Laboratories

Gill Heart Institute

Division of Cardiovascular Medicine

University of Kentucky

Lexington

KY

Disclosures

DM declares that he has no competing interests.

Martin Bocks, MD

Clinical Lecturer

University of Michigan Congenital Heart Center

Ann Arbor

MI

Disclosures

MB declares that he has no competing interests.

Ethan Cumbler, MD

Assistant Professor

Department of Internal Medicine

University of Colorado Health Sciences Center

Denver

CO

Disclosures

EC declares that he has no competing interests.

Davendra P.S. Sohal, MBBS, MPH

Research Fellow

Internal Medicine

Albert Einstein College of Medicine/Jacobi Medical Center

Bronx

NY

Disclosures

DS declares that he has no competing interests.

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