About Careers Internship MedBlogs Contact us

Diagnosis of Chest Pain

Last Updated on Jan 25, 2020
Font : A-A+

Diagnosis of Chest Pain

When a patient presents with chest pain the possibilities for different diagnoses are present. There is a need to correctly assess the nature of the chest pain in order to give the best treatment possible.


Differential diagnosis is a method of evaluation used by the doctors to consider a potential diagnosis and then to eliminate it after suitable assessment. The first step toward evaluating chest pain is to rule out heart attack (myocardial infarction), pulmonary embolus, and aortic dissection. Towards this the medical history is documented by putting forward necessary questions to the patient.

Alongside this a clinical examination is also carried out. This is followed by an ECG and a blood test. If these steps show negative, further tests have to be conducted.

Rapid diagnosis of heart problem is necessary to rule out potential heart damage.


If life-threatening reasons are ruled out then the patient is observed for a while and referred back to the physician. In case of chronic and recurrent chest pain the primary suspect is angina arising from Coronary Artery Disease (CAD). It is important to take angina seriously as this could indicate CAD- a disease that could lead to a heart attack, stroke or even death.

In this case Coronary Angiogram or Cardiac Catheterization or Stress Testing using thallium may be necessary.

If chest pain is not due to the usual heart related diseases, then X rays, pulmonary function test or GI Endoscopy might be required depending upon the discretion of the doctor.


Some of the common diagnostic tests that may be carried out to detect the causes of chest pain include:


  1. Chest Pain or Discomfort - (https://www.ncbi.nlm.nih.gov/books/NBK416/)
  2. Gender Matters: Heart Disease Risk in Women - (https://www.health.harvard.edu/heart-health/gender-matters-heart-disease-risk-in-women)
  3. Chest Pain - Children - (https://www.cincinnatichildrens.org/health/c/chest)
  4. Angina (Chest Pain) - (https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain)
  5. Musculoskeletal Chest Wall Pain - (https://www.racgp.org.au/afp/2015/august/musculoskeletal-chest-wall-pain/)
  6. Angina and Other Causes of Chest Pain - (http://www.secondscount.org/heart-condition-centers/info-detail-2/whats-causing-your-chest-pain-2#.XiWSKMgzbIU )
  7. Other Conditions May be Causes of Chest Pain - (https://www.health.harvard.edu/diseases-and-conditions/other-conditions-may-be-causes-of-chest-pain)
  8. Chest pain - (https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/chest-pain)

Citations   close

Please use one of the following formats to cite this article in your essay, paper or report:

  • APA

    Dr. Reeja Tharu. (2020, January 25). Diagnosis of Chest Pain. Medindia. Retrieved on May 18, 2022 from https://www.medindia.net/patients/patientinfo/chestpain_diagnosis.htm.

  • MLA

    Dr. Reeja Tharu. "Diagnosis of Chest Pain". Medindia. May 18, 2022. <https://www.medindia.net/patients/patientinfo/chestpain_diagnosis.htm>.

  • Chicago

    Dr. Reeja Tharu. "Diagnosis of Chest Pain". Medindia. https://www.medindia.net/patients/patientinfo/chestpain_diagnosis.htm. (accessed May 18, 2022).

  • Harvard

    Dr. Reeja Tharu. 2021. Diagnosis of Chest Pain. Medindia, viewed May 18, 2022, https://www.medindia.net/patients/patientinfo/chestpain_diagnosis.htm.

Do you wish to consult a Cardiologist for your problem? Ask your question

Dr. Paresh Patel
Dr. Paresh Patel
8 years experience
Teleconsult Now View Profile
Dr. Vijaysinh Patil
Dr. Vijaysinh Patil
5 years experience
Wockhardt Hospital in Nashik, Renuka Nagar
Teleconsult Now View Profile
Dr. Srinivasa Prasad
Dr. Srinivasa Prasad
MBBS, MD, DM Cardiology, Post DM Fellowship, FSCAI
21 years experience
Apoorva Superspeciality Medical Centre, Jayanagar
Teleconsult Now View Profile
Dr. Yogi Sundharrao
Dr. Yogi Sundharrao
6 years experience
Teleconsult Now View Profile
View All

Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.



Hi. For my mother 53 years old, we have already consulted a cardiologist 2 years ago. Did echo test, treadmill test, ECG, all reports normal. Cardiologist diagnosed PSVT and given DILZEM-SR to take daily one tablet. Palpitation of heart stopped with that, but chest pain on left side is severe, feel too much heaviness in the chest while sleeping or lying down. Which specialist we should visit? Kindly advise.


I have been having pains in my left chest for over a year now and have not seen a doctor to complain!I am afraid of this!I have stopped smoking for two years now but still drinks


I have sudden sharp pain in my chest and then it goes away. It doesn't happen every day and it isn't associated with any other symptom. I plan to tell my doctor at my next visit, but he'll send me to the same old cardiologist who makes me feel like a waste of time.


it could be Precordial Catch Syndrome research it or angina


The typical symptoms of Chest pain are:
Chest “tightness,” “squeezing,” or “heaviness.” People describe this feeling as a weight or as a band being tightened around their chest. The pain is usually located on the left side of the chest above the bottom of the ribcage, but it’s often hard to define its exact location.
Shortness of breath. Sweating, nausea, and an anxious feeling
A pain in the left arm, neck and jaw.


The typical symptoms of chest pain in women are:
Chest “tightness,” “squeezing,” or “heaviness.”  People describe this feeling as a weight or as a band being tightened around their chest. The pain is usually located on the left side of the chest above the bottom of the ribcage, but it’s often hard to define its exact location.
Shortness of breath.Sweating, nausea, and an anxious feeling
A pain in the left arm, neck and jaw.

Health Topics A - Z

    What's New on Medindia
    World Hypertension Day 2022 - Measure Blood Pressure Accurately, Control It, Live Longer!
    Drinking This Popular Beverage May Drop Dementia Risk
    Worst Mistakes Parents Make When Talking to Kids
    View all

    Medindia Newsletters Subscribe to our Free Newsletters!
    Terms & Conditions and Privacy Policy.

    Most Popular on Medindia

    Drug - Food Interactions Color Blindness Calculator Drug Interaction Checker Diaphragmatic Hernia Find a Hospital Sanatogen Blood Donation - Recipients The Essence of Yoga Noscaphene (Noscapine) Blood Pressure Calculator

    Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

    © All Rights Reserved 1997 - 2022

    This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use