The differential diagnosis of chest pain remains wide-ranging, even after life-threatening causes have been ruled out. Recurrent chest pain at rest with transient ST-segment elevation is the hallmark of coronary artery spasm; diagnosis is confirmed by angiography. Other cardiac causes include aortic stenosis and hypertrophic cardiomyopathy. Pulmonary hypertension is an often-overlooked cause of dyspnea and chest pain; signs may include a thrill in the second left intercostal space over the pulmonic valve, a right ventricular lift, a loud P2, elevated jugular venous pulse, tricuspid regurgitation, and a right ventricular S3. Chest pain may also be caused by collagen vascular disease or gastrointestinal conditions, such as gastroesophageal reflux disease and pancreatitis, which may simulate acute myocardial infarction or aortic dissection.
|Original language||English (US)|
|Number of pages||16|
|Journal||Journal of Respiratory Diseases|
|State||Published - 1996|
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine