Patients presenting with chest pain account for over 500,000 primary care appointments per year and for up to 25 % of attendances in Emergency Departments in the UK. The spectrum of diagnoses in patients presenting with chest pain ranges from acute life threatening conditions such as acute myocardial infarction, aortic dissection and pulmonary embolism to benign conditions such as musculoskeletal disorders. The timely and accurate diagnosis of such patients therefore remains a challenge for all physicians. The aim of this chapter is to provide guidance regarding the differential diagnosis in a patient presenting with chest pain with emphasis on the diagnosis and management of myocardial ischaemia.


Chest Pain Coronary Artery Disease Angina Myocardial Infarction Acute Coronary Syndrome ST elevation Non-ST elevation 

Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  1. 1.Department of CardiologyBarts Heart CentreLondonUK
  2. 2.Department of CardiologyShrewsbury and Telford NHS TrustShrewsburyUK

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