Chest pain: Working up nonemergent conditions

M. B. Cishek, K. M. Moser, Ezra A Amsterdam

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

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 languageEnglish (US)
Pages (from-to)560-575
Number of pages16
JournalJournal of Respiratory Diseases
Volume17
Issue number7
StatePublished - 1996

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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