It is important that history taking and physical examination is carried out systematically and carefully without delaying time to treatment. It is important that the history taking is systematic and accurate because the history itself is often sufficient to make a diagnosis or identify a few likely diagnoses. The table below shows a systematic history taking in patients presenting with chest pain (chest discomfort) or other symptoms suggestive of the five conditions listed above. In addition to these five conditions, there are numerous other causes of chest pain, but the other causes are either subacute or non-acute. Note that unstable angina pectoris and acute myocardial infarction are categorized under acute coronary syndromes (ACS).
Therefore, when encountering a patient with chest pain the primary task is to exclude or verify the following potentially life-threatening causes of chest pain: Chest pain is actually one of the most nuanced symptoms in clinical practice and it is fundamental to be able to differentiate benign from serious etiologies.
The cause (etiology) of chest pain varies according to age, sex, risk factors, type of symptoms etc. Approach to patients with chest pain: differential diagnoses, evaluation and managementĬhest pain is one of the most common symptoms in the emergency department, as well as in primary health care.
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