Mayo Clinic Talks
Chest Pain: What’s the Best Test?
Feb 6, 2024
Dr. Katie A. Young discusses the different tests available for assessing patients with chest pain, including the importance of resting ECG, the use of CT angiogram to evaluate coronary anatomy, potential complications of an invasive coronary angiogram, and other tests and considerations for assessing chest pain.
23:36
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Quick takeaways
- Determining if chest pain is cardiac in nature is the first step in assessment, using patient history and hallmark features.
- Resting electrocardiogram (ECG) plays a crucial role in evaluating patients with chest pain, providing reassurance or indicating the need for further testing.
Deep dives
Determining Cardiac Chest Pain
When assessing a patient with chest pain, the first step is to determine if it is cardiac chest pain. This is done by taking a thorough patient history and identifying hallmark features such as pain being sub-sternal, provoked by exertion or emotional stress, and relieved by rest or nitroglycerin. It's important to consider atypical symptoms in certain populations like women, diabetics, and the elderly. Descriptors such as possibly cardiac and non-cardiac are used to classify the type of chest pain.
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