Cardiology Question 31 Instructor

Which chest pain characteristics are more likely cardiac versus non-cardiac?

Cardiac chest pain:

  • Characteristics: “vise-like”, heavy, crushing, pressing, pressure, burning, aching, tightness, burning, indigestion
  • Radiation: to the arm, neck or shoulder
  • Associated symptoms: Nausea, vomiting, diaphoresis

Non-cardiac chest pain:

  • Duration: seconds or days, as opposed to minutes or hours
  • Localization: a very small area, e.g. size of the finger tip
  • Precipitation: movement of the thorax or by inspiration, by palpation
  • Characteristics: sharp, stabbing, pleuritic.

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