CHEST PAIN Site Charac ter Radiat ion Associa ted Symptom s /Featur es Time / Durat ion Exacerbat ing / Alleviati ng Factors ECG CVS Stable angina Retrost ernal Pressu re , tightn ess , squeez ing , heavin ess , breath ing Neck , jaw , Left should er and arm 2 – 10 minut es Exertion Exposure to cold , psycholog ic stress Relieved by nitroglyc erin Unstable angina 10 – 20 minut es Occurs even at rest Myocardia l infarctio n Cardiac failure Arrhyth mia > 30 minut es Not relieved by nitroglyc erin Aortic stenosis Pericardi tis Sitting up and leaning forward Aortic dissectio n
