Table 2.
Categories of chest pain | Unspecific diagnosis | Specific diagnosis | |
---|---|---|---|
Not life threatening | Potentially life threatening | ||
Musculoskeletal chest pain | Musculoskeletal chest pain, referred pain, trauma | Chest wall syndrome, Rib fracture, referred shoulder or spine pain | Costal metastasis |
Cardiovascular origin | Cardiomyopathy, ischemic heart disease | Arrhythmia, acute hypertension, aortic stenosis, mitral stenosis | Stable or unstable angina, myocardial infarcts, acute angina, pulmonary embolism |
Respiratory origin | Infectious disease, non-infectious disease | Bronchitis, asthma, COPD | Pneumonia, pleurisy, acute asthma |
Digestive origin | Peptic affection, cancer | Oesophagitis, gastritis, gastric ulcer, oesophageal spasm | Oesophageal cancer, pancreatic cancer, acute cholecystitis |
Psychogenic chest pain | Anxiety, somatisation | Acute anxiety, panic attack, anxio-depression, somatoform disorder | |
Miscellaneous | Mastitis, mastalgia, sarcoidosis, herpes zoster, skin infection, chest wall keloid, acute pyelonephritis |
COPD = Chronic obstructive pulmonary disease