View source for Acute chest pain

''See [[Acute coronary syndrome (main)]] for ACS specific workup and risk stratification; see [[Chest pain (peds)]] for pediatric patients.''
==Background==

==Clinical Features==
{{Clinical features ACS}}

==Differential Diagnosis==
{{Chest Pain DDX}}

==Evaluation==
===Workup===
====Younger patients/less concerning story====
*[[ECG]]
*[[CXR]]

====Older patients/more concerning story====
*[[ECG]]
*CBC
*Chemistry
*PT/PTT
*[[Troponin]]
*[[CXR]]
*Consider:
**[[BNP]]
**[[D-dimer]] vs. CTA chest

===Diagnosis===
''Consider differential diagnosis (see above) and rule out emergent causes''
*[[ACS]]: Consider using [https://www.mdcalc.com/heart-pathway-early-discharge-acute-chest-pain HEART Pathway]
*[[PE]]: See [[Pulmonary_embolism#Workup_by_Pretest_Probability|Pulmonary embolism by pretest probability]]

==Management==
*Based on underlying cause

==Disposition==
*Based on underlying cause
*HEART score may assist in determining low risk discharge vs admission for further ACS evaluation

==See Also==
*[[Acute Coronary Syndrome (Main)]]
*[[Chest pain]]
*[[Chest Pain (Peds)]]
*[[Cocaine chest pain]]
*[[HEART Score]]

==References==
<references/>

[[Category:Cardiology]] 
[[Category:Symptoms]]