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Chest Pain Risk Stratification by History, Physical Examination, and ECG

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Short Stay Management of Chest Pain

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

Chest pain represents a common chief complaint in patients presenting to the Emergency Department (ED). It is a continuum of acute and nonacute pathophysiology, therefore making a particular diagnosis challenging. Acute chest pain must be recognized and managed in a timely fashion. Acute coronary syndrome (ACS) accounts for an important subset of patients presenting with chest pain. ACS is a spectrum of disease, and its timely and accurate diagnosis is linked to improved outcomes and decreased malpractice claims. The clinical presentation of ACS can be subtle, therefore challenging. A timely and focused history, physical examination, and ECG are paramount to the proper diagnosis of ACS.

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Author information

Authors and Affiliations

  1. Clinical Operations, Department of Emergency Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA

    Maria Aini

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  1. Maria Aini
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Editors and Affiliations

  1. School of Medicine, Wayne State University, Grosse Pointe Park, MI, USA

    Margarita Pena

  2. School of Medicine, Emory University, Decatur, GA, USA

    Anwar Osborne

  3. Baylor College of Medicine, Houston, TX, USA

    W. Frank Peacock

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Aini, M. (2022). Chest Pain Risk Stratification by History, Physical Examination, and ECG. In: Pena, M., Osborne, A., Peacock, W.F. (eds) Short Stay Management of Chest Pain. Contemporary Cardiology. Humana, Cham. https://doi.org/10.1007/978-3-031-05520-1_7

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  • DOI: https://doi.org/10.1007/978-3-031-05520-1_7

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  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-031-05519-5

  • Online ISBN: 978-3-031-05520-1

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