In the UK, chest pain is among the leading causes of
presentation to the emergency department. Assessment
and differentiation of the various chest pain
presentations can be challenging due to variation in
clinical presentation, patient history of the symptom, and
the potential for atypical presentation in women, older
persons, and those with diabetes or chronic kidney
disease. In addition, not all chest pain is cardiac in origin
as there may be several non-cardiac causes of chest pain,
from musculoskeletal to pulmonary in origin. A thorough
nursing assessment yielding a subjective history and
physical assessment is the cornerstone in accurately
identifying a cause for chest pain and identifying those at
high risk of an adverse cardiac event. The aim of this
article is to provide an overview of chest pain assessment
and differential diagnoses of chest pain, with a focus on
non-ischaemic causes. It is beyond the scope of this article
to outline the management of chest pain.
In the UK, chest pain is among the leading causes of
presentation to the emergency department. Assessment
and differentiation of the various chest pain
presentations can be challenging due to variation in
clinical presentation, patient history of the symptom, and
the potential for atypical presentation in women, older
persons, and those with diabetes or chronic kidney
disease. In addition, not all chest pain is cardiac in origin
as there may be several non-cardiac causes of chest pain,
from musculoskeletal to pulmonary in origin. A thorough
nursing assessment yielding a subjective history and
physical assessment is the cornerstone in accurately
identifying a cause for chest pain and identifying those at
high risk of an adverse cardiac event. The aim of this
article is to provide an overview of chest pain assessment
and differential diagnoses of chest pain, with a focus on
non-ischaemic causes. It is beyond the scope of this article
to outline the management of chest pain.
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