Priorities in addressing non-cardiac chest pain. Adapted from Bass and Mayou29
| General |
| • Diagnose promptly and positively |
| • Consider oesophageal/musculoskeletal/hyperventilation/psychological |
| • Avoid over investigation and referral |
| • Provide specific treatments as appropriate |
| For others (no specific treatment available) |
| • Explain diagnosis and reassure that this is a real and common problem |
| • Advise to not avoid exercise |
| • Discuss concerns |
| • Provide written information |
| • Involve relatives |
| • Consider follow up appointments, especially after prolonged investigation |
| • Consider cognitive behaviour therapy/antidepressant drugs/psychological intervention |