Non-Cardiac Chest Pain of Non-Esophageal Origin

Abstract

Chest pain is a common clinical problem that can be caused by a broad spectrum of diseases other than coronary artery disease or acid re fl ux. The diagnosis of non cardiac, non esophageal chest pain can be challenging. The chronic occurrence of chest pain interferes with the daily life routine, mood and productivity of those affected by this condition and therefore implies an enormous socio-economic burden in the community. This chapter offers an overview of some of the most relevant conditions that need to be considered in the differential diagnosis of a patient presenting with chest pain, once that a cardiac and/or an esophageal origin of the symptom has been properly excluded.

Clinical utility of EDACS-ADP in patients admitted with chest pain to an emergency department

“…In 3% to 6% of all emergency admissions, the only complaint is chest pain [1]. In the United States (U.S.), emergency services garner 8-10 million visits per year due to chest pain, which is the second most common cause of admission and the number of annual ED visits is increasing [2][3][4]. Chest pain may be caused by non-life-threatening factors such as myalgia or by severe causes such as aortic dissection or pulmonary embolism.…”