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Medicine

Differential Diagnosis of Acute Chest Pain in the Emergency Department

Quick fact

A normal ECG and a normal troponin do NOT rule out aortic dissection or pulmonary embolism, and up to 10% of acute aortic dissections are initially missed.

Why this is interesting

You're in the ER when a patient walks in clutching their chest. Every second counts, but the cause could be anything—from heartburn to a torn aorta. How do you quickly figure out what's life-threatening?