Chest pain

Diagnostic tests that may be performed include:

• Blood tests (such as LDH, LDH isoenzymes, CPK, CPK isoenzymes, Troponin, CBC, and blood differential)
• Cardiac catheterization
• ECG
• Exercise ECG
• Lung scan
• X-rays of the chest

More complex tests may be required depending on the difficulty of diagnosis or the suspected cause of the chest pain.

Make healthy lifestyle choices to prevent chest pain from heart disease:

• Achieve and maintain normal weight.
• Control high blood pressure, high cholesterol, and diabetes.
• Avoid cigarette smoking and second-hand smoke.
• Eat a diet low in saturated and hydrogenated fats and cholesterol, and high in starches, fiber, fruits, and vegetables.
• Exercise 3 hours per week or more (such as 30 minutes per day, 6 days per week).
• Reduce stress.

Hong SN, Rhee PL, Kim JH et al. Does this patient have oesophageal motility abnormality or pathological acid reflux? Dig Liver Dis. 2005; 37(7):475-484.

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