가슴통증 (CPX)

감별 질환

• 4대 흉통 응급 질환: ACS, Aortic dissection, Pulmonary embolism, Tension pneumothorax
• Cardiovascular
  • Ischemic disease: ACS, Coronary atherosclerosis, Atypical angina, Aortic stenosis, cardiomyopathy, Tachycardia, Sympathomimetic toxicity 등
  • Nonischemic: Aortic dissection, Pericarditis, Mitral valve prolapse
• Gastrointestinal: Esophageal disease, Biliary disease(cholecystitis, choledocholithiasis), Peptic ulcer, Pancreatitis
• Pulmonary
  • Pulmonary embolism, Pneumothorax, Pneumonia, Pleuritis
• Musculoskeletal: Sternoclavicular arthritis, Costochondritis, Cervical spine disorders, Herpes zoster
  • Psychogenic: Anxiety disorders, Depression, Somatoform disorders

병력청취

• Pain의 양상이 중요
  • Typical anginal pain인지 찢어지는듯한 양상인지, pleuritic pain인지, musculoskeletal pain인지 등

관련 영상

<youtube>https://youtu.be/e_nbjQGj3L4?list=PLfK7eTByMv4WJuuRR3Z6ouIKqGl_SS8UW</youtube>