Chest Pain

Deep, Dull, Poorly Localized: Angina, acute myocardial infarction, preinfarction angina, aortic aneurysm, pulmonary embolism, tumors, gallbladder disease, pulmonary hypertension.

Sharp, Well Localized: Pulmonary embolism, pleurisy, pneumothorax, pericarditis, atypical myocardial infarction, hyperventilation, hiatal hernia, esophagitis, esophageal spasm, herpes zoster, aneurysm,breast lesions, bony and soft tissue abnormalities (rib fracture, costochondritis, muscle damage), perforated ulcer, acute cholecystitis, pancrestitis.

Retosternal Chest Pain: Ischemic heart disease, pericarditis, reflum esophagitis, paraesophageal hiatal hernia, diffuse esophageal spasm, tracheitis.