High-Risk Chief Complaints I: Chest Pain-The Big Three (an Update) - PubMed (original) (raw)
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High-Risk Chief Complaints I: Chest Pain-The Big Three (an Update)
Benjamin Bautz et al. Emerg Med Clin North Am. 2020 May.
Abstract
Nontraumatic chest pain is a frequent concern of emergency department patients, with causes that range from benign to immediately life threatening. Identifying those patients who require immediate/urgent intervention remains challenging and is a high-risk area for emergency medicine physicians where incorrect or delayed diagnosis may lead to significant morbidity and mortality. This article focuses on the 3 most prevalent diagnoses associated with adverse outcomes in patients presenting with nontraumatic chest pain, acute coronary syndrome, thoracic aortic dissection, and pulmonary embolism. Important aspects of clinical evaluation, diagnostic testing, treatment, and disposition and other less common causes of lethal chest pain are also discussed.
Keywords: Cardiac tamponade; Chest pain; Esophageal rupture; Myocardial infarction; Pulmonary embolism; Risk management; Tension pneumothorax; Thoracic aortic dissection.
Copyright © 2020 Elsevier Inc. All rights reserved.
Conflict of interest statement
Disclosure Neither author has any disclosures to make.
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