Advertisement

Imaging in the Evaluation of Chest Pain in the Primary Care Setting, Part 2: Sources of Noncardiac Chest Pain

      Abstract

      Chest pain is a common presenting complaint in the primary care setting. Imaging plays a key role in the evaluation of the multiple organ systems that can be responsible for chest pain. With numerous imaging modalities available, determination of the most appropriate test and interpretation of the findings can be a challenge for the clinician. In this 2-part series, we offer resources to guide primary care physicians in the selection of imaging studies and present the imaging findings of various causes of nonemergent chest pain. In Part 2, we focus on the radiologic appearance of common noncardiac sources of chest pain, including gastrointestinal, pulmonary, and musculoskeletal etiologies.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • McConaghy JR
        • Oza RS
        Outpatient diagnosis of acute chest pain in adults.
        Am Fam Physician. 2013; 87: 177-182
        • Eslick GD
        • Talley NJ
        Non-cardiac chest pain: predictors of health care seeking, the types of health care professional consulted, work absenteeism and interruption of daily activities.
        Aliment Pharmacol Ther. 2004; 20: 909-915
        • Haasenritter J
        • Biroga T
        • Keunecke C
        • et al.
        Causes of chest pain in primary care—a systematic review and meta-analysis.
        Croat Med J. 2015; 56: 422-430
        • Ebell MH
        Evaluation of chest pain in primary care patients.
        Am Fam Physician. 2011; 83: 603-605
        • Bosner S
        • Becker A
        • Haasenritter J
        • et al.
        Chest pain in primary care: epidemiology and pre-work-up probabilities.
        Eur J Gen Pract. 2009; 15: 141-146
        • Orlando RC
        Overview of the mechanisms of gastroesophageal reflux.
        Am J Med. 2001; 111: 174S-177S
        • Canon CL
        • Morgan DE
        • Einstein DM
        • Herts BR
        • Hawn MT
        • Johnson LF
        Surgical approach to gastroesophageal reflux disease: what the radiologist needs to know.
        Radiographics. 2005; 25: 1485-1499
        • Gordon C
        • Kang JY
        • Neild PJ
        • Maxwell JD
        The role of the hiatus hernia in gastro-oesophageal reflux disease.
        Aliment Pharmacol Ther. 2004; 20: 719-732
        • Kahrilas PJ
        • Kim HC
        • Pandolfino JE
        Approaches to the diagnosis and grading of hiatal hernia.
        Best Pract Res Clin Gastroenterol. 2008; 22: 601-616
        • Goldberg MF
        • Levine MS
        • Torigian DA
        Diffuse esophageal spasm: CT findings in seven patients.
        AJR Am J Roentgenol. 2008; 191: 758-763
        • Mandell LA
        • Wunderink RG
        • Anzueto A
        • et al.
        Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults.
        Clin Infect Dis. 2007; 44: S27-S72
        • Light RW
        Pleural diseases.
        Lippincott Williams & Wilkins, Philadelphia, PA2007
        • Blackmore CC
        • Black WC
        • Dallas RV
        • Crow HC
        Pleural fluid volume estimation: a chest radiograph prediction rule.
        Acad Radiol. 1996; 3: 103-109
        • Stochkendahl MJ
        • Christensen HW
        Chest pain in focal musculoskeletal disorders.
        Med Clin North Am. 2010; 94: 259-273
        • Winzenberg T
        • Jones G
        • Callisaya M
        Musculoskeletal chest wall pain.
        Aust Fam Physician. 2015; 44: 540-544
        • Thomas M
        • Shen KR
        Primary tumors of the osseous chest wall and their management.
        Thorac Surg Clin. 2017; 27: 181-193