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Eliminate non-cardiac chest pain

March 2013 Br J Cardiol 2013;20:40 doi:10.5837/bjc.2013.009

Eliminate non-cardiac chest pain

Richard A Best

Abstract

Findings on examination I looked at 75 consecutive referrals to a chest pain clinic; I noted the following distinguishing features. For angina: Predictable on exertion. Goes with rest. Rarely at rest. Same as previous proved ischaemic discomfort. Mechanical: Effected by movement or inspiration. Reproduced by movement, pressure or percussion on examination. Can last hours or days. Located to a specific structure or nerve root distribution. Could be severe and prolonged with normal electrocardiogram (ECG)/troponin. The most important finding on examination was reproduction of the symptoms by using passive movements of the cervical or thorac

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