Chest pain is a common and life-threatening condition, there're multiple causes of chest pain, including acute coronary syndrome (ACS), aortic dissection, pulmonary embolism (PE), pneumothorax, pericarditis, pericardial tamponade, and esophageal rupture. Etc., ACS accounts for the highest proportion of these serious life-threatening diseases, the misdiagnosis rate of myocardial infarction (AMI) is 3% to 5%, and the incidence of aortic dissection is about 0.5 to 1/100,000. Misdiagnosed with a mortality rate of more than 90%. The incidence of PE is about 70/100,000, the incidence of spontaneous pneumothorax is 2.5-18/100,000, and the incidence of esophageal rupture is 12.5/100,000. In 2009, Beijing acute chest pain registration study, a total of 5666 patients were included, the results showed that patients with chest pain accounted for 4% of emergency patients, of which ACS accounted for 27.4%, aortic dissection accounted for 0.1%, and PE accounted for 0.2%. How to quickly and accurately diagnose and identify the cause of ACS and other fatal chest pain has become a difficult point and focus of emergency treatment. The causes of chest pain are as follows:
1. Chest wall disease
Acute dermatitis, subcutaneous cellulitis, herpes zoster, epidemic chest pain, myositis, non-suppurative costal cartilage, intercostal neuritis, rib fracture, acute leukemia, multiple myeloma, etc.
2. Cardiovascular disease
Angina pectoris, acute myocardial infarction, myocarditis, acute pericarditis, mitral or aortic valve disease, aortic aneurysm, aortic sinus aneurysm rupture, dissecting aneurysm, pulmonary infarction: pulmonary hypertension and cardiac neurosis.
3. Respiratory diseases
Pleuritis, pleural tumor, spontaneous pneumothorax, pneumonia, acute tracheobronchitis, lung cancer, etc.
4. Mediastinal disease
Mediastinal inflammation, mediastinal abscess, mediastinal tumor, and esophagitis, hiatal hernia, esophageal cancer, etc.
5. Others such as underarm abscess, liver abscess, spleen infarction, etc.I hope the above informatio