0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Original Contributions |

The Spectrum of Anginal and Noncardiac Chest Pain

Arthur M. Master, MD
JAMA. 1964;187(12):894-899. doi:10.1001/jama.1964.03060250012002.
Text Size: A A A
Published online

When chest pain, pressure, or other thoracic sensations are present, one must exclude angina pectoris and significant coronary artery disease and also discover noncardiac conditions, if present. Again, one should avoid unjustifiably diagnosing coronary artery disease when it does not exist. Not one single feature, hitherto considered characteristic of coronary disease or of a noncardiac lesion, is definitive in differential diagnosis. Physical findings, blood pressure, heart size, heart configuration, heart valves, and resting electrocardiogram are often normal. Hence, negative objective observations must not serve as evidence of the absence of significant interference with the coronary artery circulation. Differentiation by history alone between chest pain or pressure caused by coronary disease and that caused by noncardiac or functional disorders is often impossible. This is true even if the history is obtained in detail by an experienced physician.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();