“Troponin-negative chest pain”—a diagnostic evasion?BMJ 2012; 344 doi: https://doi.org/10.1136/bmj.e1682 (Published 09 May 2012) Cite this as: BMJ 2012;344:e1682
- Ibrahim Ali, foundation year 2 doctor, Hillingdon Hospital, London
Having completed attachments in acute medicine and cardiology, I have seen quite a few patients presenting with chest pain. In the vast majority of cases, the diagnosis is acute coronary syndrome, but I have also seen patients with diagnoses of pericarditis, aortic stenosis, aortic dissection, and pulmonary embolism to name but a few examples.
However, I have also seen many patients who present with chest pain that has the appearance of an acute cardiac …