Avaliação da dor torácica

Última revisão: 28 Nov 2025
Última atualização: 14 Oct 2025

Resumo

Diferenciales

Común

  • Síndrome coronariana aguda
  • Angina estável
  • Pneumonia
  • Pleurite viral
  • Doença do refluxo gastroesofágico (DRGE)
  • Costocondrite
  • Transtorno do pânico ou ansiedade
Todos los datos

Infrecuente

  • Embolia pulmonar
  • Pericardite
  • Tamponamento cardíaco
  • Dissecção da aorta
  • Estenose aórtica
  • Prolapso da valva mitral
  • Pneumotórax
  • Hipertensão pulmonar
  • Úlcera péptica
  • Espasmo esofágico
  • Colecistite aguda
  • Pancreatite aguda
  • Herpes-zóster
  • Gastrite
  • Lesão pulmonar associada ao uso de cigarro eletrônico ou produto de "vaping" (EVALI)
  • Angina vasoespástica
Todos los datos

Colaboradores

Autores

James E. Brown, MD, MMM

Professor and Chair

Emergency Medicine

Wright State University Boonshoft School of Medicine

Fairborn

OH

Divulgaciones

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

Agradecimientos

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

Divulgaciones

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

Revisores por pares

Michael Jelinek, MD, FRACP, FACC

Cardiologist

St Vincent’s Hospital Melbourne

Associate Professor

Department of Medicine

University of Melbourne

Melbourne

Australia

Divulgaciones

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

Divulgaciones

DM declares that he has no competing interests.

Martin Bocks, MD

Clinical Lecturer

University of Michigan Congenital Heart Center

Ann Arbor

MI

Divulgaciones

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

Divulgaciones

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

Divulgaciones

DS declares that he has no competing interests.

Agradecimiento de los revisores por pares

Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.

Divulgaciones

Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

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  Resumen

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  Resumen

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  Resumen

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  Resumen

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
  • Avaliação da dor torácica images
  • Guías de práctica clínica

    • 2023 ESC Guidelines for the management of acute coronary syndromes
    • Multimodality appropriate use criteria for the detection and risk assessment of chronic coronary disease
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