It is often difficult to be certain as to whether chest pain is of cardiac or non-cardiac cause. A full history should be taken from the patient to assess the need for either immediate hospital admission or urgent hospital referral. Any doubt should lead to referral to secondary care for further assessment, either to the local chest pain clinic or urgent hospital admission.
This is a companion discussion topic for the original article at https://patient.info/doctor/cardiac-type-chest-pain-presenting-in-primary-care