Differential diagnosis of chest pain


Serious: STE-ACS, dissection, thoracal aneurysm, massive pulmonary embolism, pericardtamponade, tension pneumothorax, esophagel rupture


Moderate: NSTE-ACS, pulmonary embolism, pericarditis, pleuritis, pneuomnia, unstable angina pectoris, aortic stenosis, pneumothorax,


Mild: tendomyogenous, ribfracture, reflux, panic, stable angina pectoris, hyperventilation, costochondritis,


Gastro-intestinal: Pancreatitis, stomach ulcus, gallstones

Diagnostic consideration: D-dimer, abdominal enzymes, X-thorax

  • Females and diabetics have aspecific chest pains when enduring myocardial ischemia