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 Chest Pain
.Initial Approach to the patient with Chest pain
.Description of chest pain
.Provocation
.Associated symptoms
.Physical examination
.Other studies
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Chest Pain

Other studies
The history, physical examination, and, in some individuals, an ECG and chest radiograph should be sufficient to allow the physician to form a hypothesis regarding the etiology of pain (eg, musculoskeletal, cardiac, gastrointestinal, pulmonary, psychogenic, or other etiology). More specific studies or therapeutic trials may occasionally be required at this point to arrive at a specific diagnosis.

















Features of Electrocardiogram that increase the probability of a Myocardial Infarction in Patients presenting with Acute Chest Pain
ST - Segment elevation
New (6-54)
Any (11)
Q-Waves
New (5-25)
Any (4)
New conduction defect (6)
ST-segment depression (3-5)
T- Wave inversion (about 3)





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Member Comments ( 8 )
my husband age 33 has a pain in chest from few days if he walk fast
(Posted by shaanZee, India Date : 10/27/2010 )
Recently I Lost my mother by heart attached on 21.09.2010, she got chest pain at 10.30pm I call doctor near to me (BAMS) she miss guide me that chest pain due to acidity becouse my mother BP and heart beat is normal at that time and chest pain is in centre part of chest as inform by that doctor.

Still for safer side we moved her to cardiologst he take ECG & infor its start of heart attack, he gave her sorbitol & some liquid syrup & asked to move to ICCU.
I call abilance from Wackharts but during trasit she got attack and she pass away.

The mistake we have done,
Loss the time to investigate reason of chest pain
Suggession :-
Do not wait to invetigate rason for chest pain, just move to the hospital who can investigate & treat the chest pain reason whatever maybe.

(Posted by MandarS, India Date : 10/18/2010 )
I have chest pain on the right side and in right arm. Chest Pain started early morning before sun came up. Right arm started around lunch time. Should I go to emergency room?
(Posted by nancyk, United States Date : 9/25/2010 )
Dear Sir/Mam

Really I find this website very helpful for practitioners & others, I have gained lot of knowledge and found very useful for preparing presentations.
I am very much thankful to you.
Kind Regards
Dr.Prakash

(Posted by praku_m2003, United Kingdom Date : 9/2/2010 )
respected sir/mam,
last two years i have chest pain mainly in left side, sometime burning feeling on lower left side of chest,aal test are done twice or thrice but no result.
i can't described properly as there is no particlar reason behind this but sometime when i argue wid someone or take little stress on my mind i feel more tightness in left side.
now from some time i feel pain in left hand alonng with numbness of fingers....sometime stretching sensation in throat and pain in teeh...
please help as this creatng nuisance for me nd my family.. my age is 31..

(Posted by aakash, India Date : 5/3/2010 )
View All Comments (8)