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Acute Chest Pain

Acute chest pain has an extensive variance in diagnosis, ranging from benign to life-threatening disarrays. It is considered of being potential for the fatal cause in all patients, which includes acute coronary syndrome (ACS), pulmonary embolism and aortic dissection. Instantaneous onset with pain ‘migrating’ to back, neck or jaw suggests aortic dissection. Radiation to the back alone is generic which can occur with esophageal, myocardial and musculoskeletal pain. Prior similar chest pain brought on by effort and reassured by rest (within 10 min), such as exertional angina, Pleuritic arises with pericarditis, pneumonia, pulmonary embolism and chest wall pain. Neurological signs, even minor passing distorting of vision, advocate aortic dissection. Hemoptysis suggests pulmonary embolism.