Chest Pain

A5. Chest Pain
Preamble: The following objectives apply to chest pain presenting in the ambulatory care setting (i.e. not an Emergency department).
A5.1. Conduct a rapid assessment to identify patients requiring emergency care
A5.2. Describe the family physician’s role in the stabilization and initial management of patients identified to require emergent care.
a. Develop an approach to emergencies presenting in the family medicine office
b. Be able to assess urgency of a problem and communicate with the ER when appropriate
c. Understand what you need in the office for management of emergencies
A5.3. Conduct a focused history (including cardiac risk factors) and a relevant physical exam
A5.4. Develop a concise differential diagnosis for patients with chest pain including cardiac and noncardiac causes.
A5.5. Describe the key clinical characteristics of the following common chest pain conditions: angina, embolism, gastroesophageal reflux, costochondritis, anxiety, pneumonia.


Chest Pain ER Care Clinical Card 2014

Elzinga KE, Walker I, Krejcik VH, Keegan DA. Chest Pain – ER Care. Canadian Family Medicine Clinical Card. 2011. Available at:

Chest pain top 10 diagnoses in family medicine

Ponka D, Kirlew M. Top 10 differential diagnoses in family medicine: Chest pain. Can Fam Physician. 2007;53(12):2146. doi: 53/12/2146 [pii].

Outpatient Diagnosis of Acute Chest Pain in Adults

McConaghy JR, Oza RS. Outpatient diagnosis of acute chest pain in adults. Am Fam Physician. 2013;87(3):177-182. doi: d10795 [pii].