Imaging in the Evaluation of Chest Pain in the Primary Care Setting, Part 1: Cardiovascular Etiologies

Am J Med. 2020 Sep;133(9):1033-1038. doi: 10.1016/j.amjmed.2020.04.024. Epub 2020 May 20.

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 1, we focus on a discussion of the basic concepts of each imaging technique and the appearance of common cardiovascular etiologies of chest pain.

Keywords: CT; Cardiothoracic imaging; Chest pain; MRI; Radiography.

Publication types

  • Review

MeSH terms

  • Cardiovascular Diseases / diagnostic imaging*
  • Chest Pain / diagnostic imaging*
  • Humans
  • Primary Health Care