You're browsing as an anonymous user. Join the community today to view notes at your university, edit pages, and share knowledge!

Non-Cardiac Chest Pain

From Mediwikis

While cardiac causes of chest pain are the most acute and common, and therefore should be the "default" route of diagnosis, you should also be aware of other causes of chest pain:


  • Pulmonary embolism
  • Pneumonia
  • Hemothorax
  • Pneumothorax and Tension pneumothorax
  • Pleurisy - an inflammation which can cause painful respiration


  • Gastro-Oesophageal Reflux Disease and other causes of heartburn
  • Hiatus hernia
  • Achalasia, nutcracker esophagus and other neuromuscular disorders of the esophagus
  • Functional dyspepsia


  • Spinal nerve problem
  • Fibromyalgia
  • Radiculopathy


  • Costochondritis or Tietze's syndrome - a benign and harmless form of osteochondritis often mistaken for heart disease
  • Thoracic cavity|Chest wall problems
  • Precordial catch syndrome - another benign and harmless form of a sharp, localised chest pain often mistaken for heart disease
  • Breast conditions
  • Herpes zoster commonly known as shingles
  • Tuberculosis


  • Panic attack
  • Anxiety
  • Clinical depression
  • Somatization disorder