Features of chest pain caused by coronary heart disease (CHD)
| • Features in the patient |
| ‐ family history of CHD (male first degree relative <55 years old, female <60 years old) |
| ‐ hyperlipidaemia |
| ‐ hypertension |
| ‐ diabetes |
| • Features to seek in the pain characteristics (and typical answers) |
| ‐ location: central (radiating to left arm and throat) |
| ‐ character: tight, squeezing, constricting |
| ‐ duration: <5 minutes |
| ‐ worsened by exertion (physical but also emotional) |
| ‐ relieved by rest (or nitrates) |