Chest Pain
🚨 Life-Threatening — exclude first
If suspected, escalate now.
Acute Coronary Syndrome (STEMI / NSTEMI / unstable angina)
Aortic Dissection
Massive Pulmonary Embolism
Tension Pneumothorax
Cardiac Tamponade
Oesophageal Rupture (Boerhaave's)
❤️
Cardiac Causes
Acute Coronary SyndromePericarditis / MyocarditisAortic StenosisArrhythmiasStable angina
🫁
Respiratory Causes
Pulmonary EmbolismPneumoniaPneumothoraxPleurisyLung malignancy
🍽️
Gastrointestinal Causes
GORD / refluxOesophageal spasmGastritis / peptic ulcerOesophageal rupture
🦴
Musculoskeletal Causes
CostochondritisRib injury / fractureMuscle strainShingles (pre-rash)
🩸
Vascular Causes
Aortic dissectionAortic aneurysm