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Non-central chest pain

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

A non-central chest pain does not rule out cardiac origin. It is not unknown for myocardial infarctions to present with for example shoulder pain without chest pain.

A non-central chest pain should also make the clinician consider other conditions in the differential diagnosis.

  • pleuritic pain - this pain that is made worse on inspiration. Massive pulmonary embolism may cause central chest pain.
  • shingles - pain that is classically localized to the dermatomes. It is unaffected by respiration.
  • rib fractures - pain is felt at the site of fracture.
  • ankylosing spondylitis
  • tabes dorsalis
  • gall bladder and pancreatic disease
  • Tietz's syndrome

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