Chest pain classification: Difference between revisions
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==Overview== | ==Overview== | ||
[[Chest pain]] | [[Chest pain]] traditionally has been classified into [[typical]] and atypical types. [[Chest pain]] that is more likely associated with [[ischemia]] consists of substernal [[chest discomfort]] aggravated by [[exertion]] or [[emotional stress]] and relieved by [[rest]] or [[nitroglycerin]]. The classic description of [[chest discomfort]] is based on [[quality]], [[location]], [[radiation]], and provoking and relieving factors, is more likely to be of cardiac [[ischemic]] origin. Using the term of [[atypical chest pain]] is problematic. Although it was intended to address [[angina]] without typical [[chest]] [[symptoms]], it is more often used to state that the [[symptom]] is [[noncardiac]] in origin. Then, it is discouraged the use of atypical [[chest pain]]. Notably, [[chest pain]] is broadly defined to also include referred pain in the [[shoulders]], [[arms]], [[jaw]], [[neck]], and upper [[abdomen]]. So, using [[cardiac]], possible [[cardiac]], and [[noncardiac]] to describe the suspected cause of [[chest pain]] is encouraged. | ||
==Classification== | ==Classification== | ||
Revision as of 06:14, 19 December 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2]
Overview
Chest pain traditionally has been classified into typical and atypical types. Chest pain that is more likely associated with ischemia consists of substernal chest discomfort aggravated by exertion or emotional stress and relieved by rest or nitroglycerin. The classic description of chest discomfort is based on quality, location, radiation, and provoking and relieving factors, is more likely to be of cardiac ischemic origin. Using the term of atypical chest pain is problematic. Although it was intended to address angina without typical chest symptoms, it is more often used to state that the symptom is noncardiac in origin. Then, it is discouraged the use of atypical chest pain. Notably, chest pain is broadly defined to also include referred pain in the shoulders, arms, jaw, neck, and upper abdomen. So, using cardiac, possible cardiac, and noncardiac to describe the suspected cause of chest pain is encouraged.
Classification
- Chest pain is classified into two subgroups including cardiac and noncardiac etiology.
- Non-cardiac chest pain is used when the etiology of chest pain is not related to heart.
- The term of Non-cardiac chest pain is encouraged to use instead of atypical chest pain, because atypical chest pain is a misleading description
- Cardiac chest Pain means more Than Pain in the Chest.
- Pain, pressure, tightness, or discomfort in the chest, shoulders, arms, neck, back, upper abdomen, or jaw, as well as shortness of breath and fatigue, should all be considered anginal equivalents.