Evaluation of chest pain
Summary
Differentials
Common
- Acute coronary syndrome
- Stable angina
- Pneumonia
- Viral pleuritis
- GERD
- Costochondritis
- Anxiety or panic disorder
Uncommon
- Pulmonary embolism
- Pericarditis
- Cardiac tamponade
- Aortic dissection
- Aortic stenosis
- Mitral valve prolapse
- Pneumothorax
- Pulmonary hypertension
- Peptic ulcer disease
- Esophageal spasm
- Acute cholecystitis
- Acute pancreatitis
- Herpes zoster
- Gastritis
- E-cigarette or Vaping product use Associated Lung injury (EVALI)
- Vasospastic angina
Contributors
Authors
James E. Brown, MD, MMM
Professor and Chair
Emergency Medicine
Wright State University Boonshoft School of Medicine
Fairborn
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
Declarações
DM declares that he has no competing interests.
Martin Bocks, MD
Clinical Lecturer
University of Michigan Congenital Heart Center
Ann Arbor
MI
Declarações
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
Declarações
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
Declarações
DS declares that he has no competing interests.
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Referências
Principais artigos
Gulati M, Levy PD, Mukherjee D, et al. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the evaluation and diagnosis of chest pain: a report of the American College of Cardiology/American Heart Association joint committee on clinical practice guidelines. Circulation. 2021 Nov 30;144(22):e368-454.Texto completo Resumo
Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. circulation. 2014 Dec 23;130(25):e344-426.Texto completo Resumo
National Institute for Health and Care Excellence. Recent-onset chest pain of suspected cardiac origin: assessment and diagnosis. Nov 2016 [internet publication].Texto completo
O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013 Jan 29;127(4):e362-425.Texto completo Resumo
Katz PO, Dunbar KB, Schnoll-Sussman FH, et al. ACG clinical guideline for the diagnosis and management of gastroesophageal reflux disease. Am J Gastroenterol. 2022 Jan 1;117(1):27-56.Texto completo Resumo
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