JOPIC
Journal of Pulmonology and Intensive Care

The JoPIC is an independent-unbiased, peer-reviewed, and open-access journal of current national and international issues and reviews for original clinical and experimental research, interesting case reports, surgical techniques, differential diagnoses, editorial opinions, letters to the editor, and educational papers in pulmonology, thoracic surgery, occupational diseases, allergology, and intensive care medicine.

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Approach to the adult patient with non--traumatic chest pain in the emergency department
Abstract
Chest pain is one of the most common reasons for presentation to the emergency department and may be attributable to a wide spectrum of cardiac and non-cardiac etiologies. Given that this clinical manifestation may indicate life-threatening conditions—such as acute coronary syndrome, aortic dissection, pulmonary embolism, pneumothorax, pericardial tamponade, and mediastinitis—a prompt and structured diagnostic approach is essential. Clinical data including history, physical examination findings, vital signs, and prior test results play a pivotal role in risk stratification and guiding the diagnostic algorithm. Electrocardiography, cardiac biomarkers, D-dimer testing, chest radiography, and—when indicated—advanced imaging modalities such as computed tomography, magnetic resonance imaging, and echocardiography, contribute significantly to diagnostic accuracy. This review discusses a systematic approach to adult patients presenting with non-traumatic chest pain in the emergency setting, and summarizes key clinical scenarios and therapeutic strategies in differential diagnosis based on current literature.

Keywords : Emergency department, non-traumatic chest pain, diagnostic approach

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Article available in :
Volume 3, Issue 3, 2025
Page : 76-82
https://doi.org/10.51271/JOPIC-0063
Article Information
Received : 14 Tem 2025
Accepted : 11 Ağu 2025
Published : 20 Ağu 2025
Corresponding Author :

Emrah Arı: Department of Emergency Medicine, Mamak State Hospital, Ankara, Turkiye

[email protected]
Citation : Arı E. Approach to the adult patient with non-traumatic chest pain in the emergency department. J Pulmonol Intens Care. 2025;3(3):76-82.

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