Differential diagnostic aspects of angina pectoris and common phenotypes of angina-like pain

The article examines the differential diagnostic aspects of chest pain syndrome from a cardiological point of view. Pathologies that may be similar in their manifestations to the angina pectoris include esophageal diseases, neurotic disorders and some neurological syndromes. Underdiagnosis of angina pectoris a direct threat to the patient's life. Overdiagnosis of angina leads to unjustified hospitalization, increases the risk of iatrogenism and exacerbates the course of an unrecognized extracardial disease. In practice, the greatest diagnostic difficulties arise when the paroxysmal chest pain is not associated with physical exertion, is absent during a medical examination, and the "pain history" itself is short – several hours or days.