Differential diagnosis

• angina
• pulmonary embolism
• chest infection
• musculoskeletal pain
• pericarditis

Rarer causes include ^d   

• aortic dissection
• oesophageal spasm 

Note:

Myocardial infarction, angina and pulmonary embolism are common causes of chest pain

Chest pain in emergency department a c	% (95% CI)
myocardial infarction	12% to 20%
unstable angina	24% (21% to 27%)
stable angina	9.0% (5.6% to 12%)
pulmonary embolism	5.8% (3.0% to 8.5%)
other pulmonary disease	5.8% (3.0% to 8.5%)
chest wall pain	5.4% (2.7% to 8.1%)
pericarditis	5.0% (2.5% to 7.6%)
psychogenic	2.9% (0.9% to 4.8%)
other heart disease	1.1% (0.0% to 2.3%)
other disease	1.1% (0.0% to 2.3%)
unknown	11% (7.5% to 15%)