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Emergency Assessment of Chest Pain

Not every chest pain is life-threatening, but cardiac causes must be ruled out first.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Acil Servis department. Book Appointment →

What is Emergency Assessment of Chest Pain?

Chest pain may originate from the heart, lungs, oesophagus, musculoskeletal system or have a psychological origin. The first priority in the emergency department is to exclude heart attack, aortic dissection and pulmonary embolism.

Performing a 12-lead ECG and measuring troponin within 10 minutes form the basis of the emergency chest pain protocol. Treatment is then guided by risk stratification.

Symptoms

Chest pain described as pressure, squeezing or burning
Pain radiating to the arm, jaw or back
Pain that worsens with effort and improves with rest
Sudden tearing pain (suspected aortic dissection)
Pain accompanied by shortness of breath, sweating and pallor
Pain accompanied by palpitations or a feeling of fainting

Risk Factors

Coronary artery disease and diabetes
Hypertension and high cholesterol
Smoking and obesity
Deep vein thrombosis or prolonged immobility
Connective tissue diseases (risk of aortic dissection)
Gastro-oesophageal reflux disease

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Call emergency services immediately if chest pain lasts longer than 15 minutes
  • Pain accompanied by pallor, sweating or altered consciousness is an emergency sign
  • Do not delay for sudden tearing chest pain
  • Any new chest pain should be assessed in patients with known heart disease

Treatment Methods

01
12-lead ECG and cardiac troponin within the first 10 minutes
02
Oxygen support and intravenous access
03
When heart attack is confirmed: aspirin, anticoagulant and reperfusion therapy
04
Anticoagulation or thrombolysis for pulmonary embolism
05
For benign causes (reflux, musculoskeletal pain): symptomatic treatment and outpatient follow-up

Which Department to Visit?

You can visit our Acil Servis department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Acil Servis Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.