Differential diagnosis of prolonged chest pain
|Differential diagnosis of prolonged chest pain
Even though the most important differential diagnosis of prolonged chest pain is acute myocardial infarction, the following disorders have to ruled out:
Aortic dissection – check peripheral pulses for asymmetry
Pericarditis – pericardial rub may be transient, ECG changes may mimic myocardial infarction
Atypical anginal pain associated with hypertrophic cardiomyopathy
Esophageal, other upper gastrointestinal, or biliary tract disease
Pulmonary diseases: pneumothorax, pulmonary embolism with or without infarction, Pleurisy: infectious, malignant, or immune disease-related
Chest wall disorders: skeletal, neuropathic – root pain
Psychogenic – somatoform pain disorder