What conditions increase the likelihood of a patient’s chest pain being angina?

There are five major risk factors for coronary artery disease. The more risk factors present, the greater is the likelihood that any one patient’s symptoms may be due to myocardial ischemia (angina). The risk factors are:

Smoking cigarettes

Hypertension

Elevated cholesterol

Diabetes mellitus

Family history of premature coronary artery disease (before age 60)

Not only are these factors important in helping to establish the diagnosis of angina (and therefore coronary artery disease), but all except family history can be modified to reduce the chances of developing (or of having progression of currently existent) coronary artery disease.

Besides myocardial ischemia, are there other conditions that cause angina-like chest pain?

Yes. Many entities may cause chest pain, several of which may produce symptoms similar to angina. The differential diagnosis of angina-like chest pain includes, but is not limited to:

Myocardial Ischemic Pain Cervical/Dorsal Spine Pain Thoracic Outlet Syndrome

Left Lower Anterior Chest

Differential diagnosis of chest pain according to location where pain starts. (From Miller AJ: Diagnosis of Chest Pain. New York, Raven Press, 1988, p 175; with permission.)

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