Cardiology  |  Chest Pain Pathway - History


Chest Pain Pathway - History

History should include:

  • Characterization of pain
  • Exacerbating or relieving factors
  • Associated symptoms

Evaluate risk factors and manage:

  • Smoking
  • Hyperlipidaemia
  • Hypertension
  • Diabetes mellitus
  • Personal history of CAD
  • Family history CAD - first degree male relative < 55 years / female < 60 years

Useful patient risk assessment tool

Note: Beware of atypical presentations - chest pain may not be the presenting complaint - this is more common in:-

  • Patients with diabetes mellitus due to autonomic dysfunction.
  • Elderly patients may present with malaise , lethargy, and change in mental status.
  • People of South Asian origin may present with sharp chest pain.

Last updated : Friday, August 21, 2015
Next review date : Saturday, August 20,2016

Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.