Chest pain

It typically is located in the retrosternal area and generally may last 10 to 30

minutes;
Ischemic chest pain is often related to exertion or emotional stress, typically
relived by rest, and may be accompanied by dyspnea, diaphoresis, and
nausea.
Chest pain lasting a few seconds usually is not of cardiac origin.
Acute pericarditis may also cause chest pain that typically is located in the
retrosternal area. The pain is worsened by cough, deep inspiration (pleuritic
pain), and supine position; it is relieved by the patient sitting up and leaning
forward. A history of a recent viral infection may precede the occurrence of
pericarditis. Physical examination may reveal the presence of a pleural rub
and tachycardia. A pericardial rub may be present in 85% of the cases;
Aortic dissection typically presents with severe, sharp, or tearing
abrupt-onset chest pain, often radiating to the back or to the abdomen.
Hypertension is an important risk factor. On physical examination, aortic
dissection may present with elevated blood pressure (49%), presence of a
differential in blood pressure (31%; defined as >20 mm Hg difference
between the right and left arm), or an early diastolic murmur due to acute
aortic insufficiency (28%) when the dissection involves the ascending aorta
and extends into the aortic valve
DDx cardiac chest pain:
o Ischemic heart disease;
o Acute pericarditis;
o Diseksi aorta;
o Stenosis aorta;
o Cocaine-induced