Return to book page

Table 9 Sources, Types, and Most Common Causes of Chest Pain

Myocardial ischemia

Angina pectoris
Variant angina
Acute myocardial infarction
Cocaine
Aortic valve disease
Mitral valve prolapse
Hypertrophic cardiomyopathy

Pericardial pain

Infection
Dressler’s syndrome
Postcardiotomy syndrome
Idiopathic

Substernal and back pain

Aortic dissection

Costochondral pain

Neuritis-radiculitis

Herpes zoster infection
Disorders of the spine

Shoulder-upper extremity pain

Pancoast carcinoma
Thoracic outlet obstruction
Shoulder-hand syndrome

Chest wall pain

Rib fracture
Muscle injury (myalgia)
Infection
Malignancy

Pleuritic pain

Infection
Pulmonary embolism
Spontaneous pneumothorax
Collagen vascular disease

Pain of pulmonary hypertension

Pulmonary embolism
Primary pulmonary hypertension
Eisenmenger’s syndrome

Tracheobronchial pain

Infection
Inhalation of irritants
Malignancy

Esophageal pain

Reflux esophagitis
Motility disorders

Epigastric-substernal pain

Cholecystitis
Peptic ulcer disease
Acute pancreatitis
Disorders of intestinal motility

Atypical anginal pain

Neurocirculatory asthenia
Hyperventilation syndrome
Panic disorder

Substernal pain

Mediastinal emphysema