Chest Pain

Mar 1, 2011 Issue
Evaluation of Chest Pain in Primary Care Patients [Point-of-Care Guides]

Chest pain can be caused by conditions that range from benign and self-limited (e.g., chest wall pain) to serious (e.g., anxiety disorder) or life-threatening (e.g., unstable angina, aortic dissection, pulmonary embolism). Accurate identification of life-threatening and serious causes of chest pain ...

Nov 15, 2010 Issue
Can ECG Rule Out ACS if Performed While the Patient Is Having Chest Pain? [AFP Journal Club]

Is negative ECG performed while the patient is having chest pain good at ruling out acute coronary syndrome? Although this study says yes, other higher-quality studies say it does not rule out cardiac disease. Observational studies are not ideal for testing some hypotheses.

Sep 15, 2009 Issue
Costochondritis: Diagnosis and Treatment [Article]

Costochondritis, an inflammation of costochondral junctions of ribs or chondrosternal joints of the anterior chest wall, is a common condition seen in patients presenting to the physician's office and emergency department. Palpation of the affected chondrosternal joints of the chest wall elicits ten...

Aug 15, 2007 Issue
Radiologic Evaluation of Acute Chest Pain—Suspected Myocardial Ischemia [Article]

The American College of Radiology has developed appropriateness criteria for a number of clinical conditions and procedures. Criteria are available on imaging tests used in the evaluation of acute chest pain--suspected myocardial ischemia. Imaging tests for a suspected cardiac etiology include trans...

Aug 1, 2006 Issue
Acute Chest Pain in an Adolescent [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Nov 15, 2005 Issue
Diagnosing the Cause of Chest Pain [Article]

Chest pain presents a diagnostic challenge in outpatient family medicine. Noncardiac causes are common, but it is important not to overlook serious conditions such as an acute coronary syndrome, pulmonary embolism, or pneumonia. In addition to a thorough history and physical examination, most patien...

Nov 1, 2005 Issue
Psychological Interventions for Noncardiac Chest Pain [Cochrane for Clinicians]

Noncardiac chest pain can be caused by gastroesophageal reflux disease (GERD), panic disorder, or a number of other psychological conditions. Psychotherapy, particularly cognitive behavior therapy, has been shown to reduce the number of days with chest pain significantly over a three-month period, whatever the cause.

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