Evaluation of Chest Pain and Myocardial Ischemia

  • Thorsten M. Leucker
  • Steven R. Jones
  • Seth S. MartinEmail author
Part of the Contemporary Cardiology book series (CONCARD)


About 1% of all outpatient visits are related to chest pain, and of these patients, 1.5% will have unstable angina or an acute myocardial infarction. Chest pain represents a wide spectrum of disease, from benign to life-threatening conditions. The primary care provider has an essential role in the initial evaluation of such patients with a focus on a quick rule out of potential life-threatening conditions and further appropriately triaging the patient. The evaluation of patients with stable symptoms should focus on risk assessment for coronary artery disease and appropriate downstream noninvasive stress testing.


Chest pain Coronary artery disease Acute coronary syndrome Unstable angina Acute myocardial infarction Myocardial ischemia Risk assessment Electrocardiogram High-sensitivity troponin Noninvasive stress testing Coronary computed tomographic angiography 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Thorsten M. Leucker
    • 1
  • Steven R. Jones
    • 1
  • Seth S. Martin
    • 1
    Email author
  1. 1.Department of Medicine, Division of CardiologyJohns Hopkins HospitalBaltimoreUSA

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