Differential Diagnosis of Chest Pain

Differential Diagnosis of Chest Pain includes

1. Cardiac
a. Coronary artery disease (supported by ECG abnormalities-changes in the T waves, ST segments, or conduction pattern; not ruled out by a normal ECG), coronary artery embolism or dissection, coronary artery abnormalies.

Differential Diagnosis of Causes of Angina Besides Coronary Artery Disease

There are othe cardiac causes of angina besides coronary artery disease:

A. Congenital anomalies of the coronary arteries can take many forms. Their prevalence is 1% to 2% of the general population. Anomalous origin of the left or right coronary artery from the contralateral sinus of valsava with passage between the aorta and pulmonary artery may produce ischemia and is associated with sudden death.

Stable Angina

           Chronic Stable Angina is the initial manifestations of Ischemic Heart Disease in approximately half of patients with Coronary Artery Disease, Approxymately 15 millions American have CAD. Despite the well-documented decline in cardiovascular mortality, Ischemic Heart Disease remains the leading single cause of death in The United States and is reponsible for nearly one of every five deaths.