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April 7, 1989

Diagnosis of Chest Pain

Author Affiliations

Baylor College of Medicine Houston

Baylor College of Medicine Houston

JAMA. 1989;261(13):1983-1984. doi:10.1001/jama.1989.03420130153046

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Practical Management of Ischaemic Heart Disease, by Graham Jackson (Practical Problems in Medicine), 230 pp, with illus, $55, London, Martin Dunitz; Dobbs Ferry, NY, Sheridan House Inc, distributor, 1988,  In Diagnosis of Chest Pain Dr Albert J. Miller encourages physicians to synthesize available information on their patients suffering from various types of chest pain for an initial working diagnosis. One can change the diagnosis with the flow of the patient's clinical and laboratory findings.Miller attempts to cover a wide range of chest pain syndromes. Under each topic he selectively reviews certain earlier reports and adds his own opinion to them. He emphasizes obtaining a good case history and careful physical examination before assessing confirmatory laboratory studies to establish the final diagnosis.Chest pain syndrome is discussed in terms of somatic, visceral, referred, and emotional types and factors. Under the "more frequent causes of chest pain," the main emphasis is