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  1. The ACC/AHA Joint Committee on Clinical Practice Guidelines has commissioned this guideline to focus on the evaluation of acute or stable chest pain or other anginal equivalents, in various clinical settings, with an emphasis on the diagnosis on ischemic causes.

  2. Signs and symptoms. When the costochondral joints become inflamed, it can result in: Sharp chest pain in the front of the chest, close to where your breastbone and ribs meet, typically on the left side. It may spread to your back or belly. Sometimes the pain is aching and dull.

  3. • Ripping chest pain (“worse chest pain of my life”), especially when sudden in onset and occurring in a hypertensive patient, or with a known bicuspid aortic valve or aortic dilation, is suspicious of an acute aortic syndrome (e.g., aortic dissection).

  4. Treatment of costochondritis consists of analgesia, rest, and reassurance. Rarely is physical therapy or combined lidocaine (Xylocaine)/corticosteroid injections of the costochondral joints...

  5. 28 paź 2021 · Chest pain protocols are intended to add structure to the process of patient evaluation. Although various terms such as accelerated diagnostic protocols or disposition pathways have been used to describe such protocols, they can collectively be referred to as CDPs.

  6. chest pain presenting to primary care, an initial differential diagnosis should include cardiovascular, psychogenic, pulmo- nary, gastrointestinal, and miscellaneous or unknown sources (more to...

  7. Costochondritis (CC) is a benign inflammatory condition of the costochondral or costosternal joints that causes localized pain. 1 The onset is insidious, though patient may note particular activity that exacerbates it. The etiology is not clear, but it is most likely related to repetitive trauma.

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