Chest pain classification

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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 may be classified according to its characteristics into 3 subtypes/groups: typical Angina (definite), atypical angina (probable), and non-cardiac chest pain.

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 cause of 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.

Chest pain may be classified according to its characteristics into 3 subtypes/groups:

• Typical Angina (definite)
  • Meets three of the following characteristics:
    • Substernal chest discomfort of characteristic quality and duration
    • Provoked by exertion or emotional stress
    • Relieved by rest and/or nitroglycerine
• Atypical angina (probable)
  • Meets two of these characteristics
• Non-cardiac chest pain
  • Meets one or none of the characteristics