Emergent - Cardiac
Emergent - Pulmonary
Emergent - Esophageal
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New Chest Pain
Chest pain can be caused by many different conditions, some of which can be serious. Based on our discussion, we are most concerned about *** and have started investigating potential causes. It's important to remain vigilant - if your pain becomes severe, is associated with shortness of breath, sweating, nausea, vomiting, dizziness, or fainting, or if you notice a sudden change in your symptoms, please seek immediate medical attention. These could be signs of a more serious condition, like a heart attack.
In the meantime, please remember to take your medications as prescribed, and avoid any known triggers for your chest pain. It is important to avoid tobacco use and excessive alcohol, maintain a balanced diet, and engage in regular physical activity as your symptoms allow.
If you have any questions or concerns, please do not hesitate to contact us via this portal or by phone.
It's crucial to first rule out life-threatening causes, particularly acute coronary syndrome (ACS). A basic workup should always include trop, NT-proBNP, EKG, and a CXR. For low-risk patients, a thoughtful differential diagnosis is key - think beyond the heart to pulmonary, gastrointestinal, musculoskeletal, and psychological causes. Tailor your workup accordingly; chest pain is a symptom, not a diagnosis, and clinical judgment is paramount.
Characteristics and Duration of Chest Pain:
Differential Diagnosis and Clues:
Diagnostic Tools and Interpretation:
Medications and Treatment: