CHEST PAINSite Character Radiation Associated Symptoms /Features Time / Duration Exacerbating / Alleviating Factors ECG

CVS

Stable angina Retrosternal Pressure , tightness , squeezing , heaviness , breathing Neck , jaw ,Left shoulder and arm 2 10 minutes ExertionExposure to cold , psychologic stress

Relieved by nitroglycerin

Unstable angina 10 20 minutes Occurs even at rest

Myocardial infarction Cardiac failure Arrhythmia > 30 minutes Not relieved by nitroglycerin

Aortic stenosis

Pericarditis Sitting up and leaning forward

Aortic dissection

RESPI

Pulmonary embolism Pleuritic

Pneumothorax Pleuritic

Pleumonia / Pleuritis Pleuritic

GI

GERD Epigastric Recumbent position

Antacids