Rendered example

Example chest pain cardiology DDx form

This is a public example of how a cardiology chest pain differential diagnosis workflow can be rendered for physicians. It shows example de-identified inputs and an illustrative ranked DDx output, not a live patient assessment.

Example only. This section demonstrates the form structure and output style for chest pain review workflows, not clinical advice.

1. Patient demographics

Age range

41-60

Sex

Male

2. Chief complaint

Presentation

Chest pain/pressure

Duration

2 Hours

3. Chest pain characteristics

Quality

Pressure/squeezing

Severity

8 / 10

Location

Substernal (behind breastbone)Left-sided

Radiation

Left armJaw/neck

Timing/pattern

ConstantWorsens with exertion

Relief factors

RestNothing relieves

4. Associated cardiovascular symptoms

Shortness of breathDiaphoresis (sweating)Nausea/vomitingLightheadedness

5. Cardiac risk factors

Medical history

HypertensionDiabetes mellitusDyslipidemiaFamily history of early CAD

Lifestyle risks

Former smokerSedentary lifestyle

Current medications

Ramipril, rosuvastatin, metformin

6. Example rendered DDx output

RankDiagnosisICD-10LikelihoodExample reasoning
1Acute coronary syndromeI24.9HighSubsternal pressure with left arm radiation, exertional worsening, diaphoresis, nausea, and multiple vascular risk factors makes ACS the leading diagnosis in this example.
2Unstable anginaI20.0HighThe symptom pattern and relief profile keep unstable angina high in the differential, especially if early biomarkers are nondiagnostic.
3Pulmonary embolismI26.9MediumChest pain with dyspnea remains broad enough to preserve pulmonary embolic disease in the differential until the clinical picture narrows further.
4Gastroesophageal reflux diseaseK21.9LowGERD stays on the list because burning and post-prandial symptoms can overlap with cardiac complaints, but the overall pattern here remains more concerning for cardiac pathology.

Acute coronary syndrome

Substernal pressure with left arm radiation, exertional worsening, diaphoresis, nausea, and multiple vascular risk factors makes ACS the leading diagnosis in this example.

Suggested next steps

  • Immediate ECG
  • Serial troponins
  • Risk stratification and emergency protocol review

Red flags

  • Persistent pain at rest
  • Hemodynamic instability
  • Dynamic ischemic ECG changes

Unstable angina

The symptom pattern and relief profile keep unstable angina high in the differential, especially if early biomarkers are nondiagnostic.

Suggested next steps

  • Urgent cardiology review
  • Repeat ECG assessment
  • Ongoing ischemia monitoring

Red flags

  • Escalating frequency of pain
  • Pain with minimal exertion
  • New heart failure features

Pulmonary embolism

Chest pain with dyspnea remains broad enough to preserve pulmonary embolic disease in the differential until the clinical picture narrows further.

Suggested next steps

  • Assess PE risk factors
  • Consider oxygenation and hemodynamic status
  • Targeted imaging if clinically indicated

Red flags

  • Hypoxia
  • Syncope
  • Tachycardia with pleuritic features

Gastroesophageal reflux disease

GERD stays on the list because burning and post-prandial symptoms can overlap with cardiac complaints, but the overall pattern here remains more concerning for cardiac pathology.

Suggested next steps

  • Reassess after dangerous causes are addressed
  • Compare symptom triggers and relief factors

Want to see the live DDx workflow?

This example shows the structure of a cardiology chest pain DDx workflow. The live product adds step-by-step interaction, physician review flow, and the broader Vaid MD clinical workflow around it.