Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Investigating chest pain

P Aylward1

  • 1Flinders Medical Centre, Adelaide.

Australian Family Physician
|July 1, 1996
PubMed
Summary
This summary is machine-generated.

Investigating chest pain often requires advanced methods beyond simple tests like ECG. Coronary angiography is the gold standard for diagnosing coronary atherosclerosis, despite the limitations of other common diagnostic tools.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Clinical features of patients who are admitted under different criteria of the Irish Mental Health Act 2001: a retrospective cohort study.

Irish journal of psychological medicine·2025
Same author

A four-year longitudinal evaluation of the impact of the COVID-19 pandemic on patients with a range of mental health disorders.

Irish journal of psychological medicine·2024
Same author

Morbidity, mortality and economic burden of renal impairment in cardiac intensive care.

Internal medicine journal·2006
Same author

Survival outcomes 1 year after reperfusion therapy with either alteplase or reteplase for acute myocardial infarction: results from the Global Utilization of Streptokinase and t-PA for Occluded Coronary Arteries (GUSTO) III Trial.

Circulation·2000
Same author

Single-bolus tenecteplase compared with front-loaded alteplase in acute myocardial infarction: the ASSENT-2 double-blind randomised trial.

Lancet (London, England)·1999
Same author

Sex, clinical presentation, and outcome in patients with acute coronary syndromes. Global Use of Strategies to Open Occluded Coronary Arteries in Acute Coronary Syndromes IIb Investigators.

The New England journal of medicine·1999

Area of Science:

  • Cardiology
  • Diagnostic Imaging

Background:

  • Chest pain is a frequent symptom necessitating cardiac evaluation.
  • Electrocardiogram (ECG) and chest X-ray often lack diagnostic utility for coronary artery disease.
  • Exercise testing has limitations in interpretation and specific populations, such as middle-aged women.

Purpose of the Study:

  • To review the diagnostic efficacy of various investigations for chest pain.
  • To highlight the limitations of non-invasive tests in assessing coronary atherosclerosis.
  • To establish the role of coronary angiography as the definitive diagnostic standard.

Main Methods:

  • Review of diagnostic modalities for chest pain.
  • Evaluation of exercise testing, thallium scanning, and stress echocardiography.

Related Experiment Videos

  • Assessment of coronary angiography as the gold standard.

    • Main Results:

    • Standard tests like ECG and chest X-ray are frequently inconclusive.
    • Exercise test interpretation is complex and its effectiveness varies by demographic.
    • Advanced imaging techniques offer limited incremental benefit over cost.
    • Coronary angiography provides definitive assessment of coronary atherosclerosis.

    Conclusions:

    • Coronary angiography remains the gold standard for diagnosing coronary atherosclerosis.
    • Non-invasive tests have limitations in accuracy and applicability.
    • Further investigation is crucial for patients presenting with chest pain to rule out heart disease.