{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:46:29Z","timestamp":1760028389790,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,11,19]]},"abstract":"<jats:p>Chest pain (CP) is a very common presentation with a wide range of differential diagnoses, including life-threatening conditions, which need to be considered, diagnosed and treated urgently. Cardiac CP accounts for less than one-third of causes. Echocardiography is a valuable non-invasive tool that can help in diagnosing and treating patients presenting with CP. National Institute for Health and Care Excellence (NICE), European Society of Cardiology (ESC) and American Heart Association (AHA) guidelines state that echocardiography can help in the diagnosis of acute coronary syndromes and also in ruling out other serious conditions. We present three cases where transthoracic echocardiography (TTE) was essential in assessing patients, making the correct diagnosis and offering the right treatment. This article emphasises the importance of using TTE in assessing patients with CP and hopes to promote its consideration in day-to-day practice.<\/jats:p>","DOI":"10.1136\/bcr-2014-205438","type":"journal-article","created":{"date-parts":[[2014,12,8]],"date-time":"2014-12-08T06:53:47Z","timestamp":1418021627000},"page":"bcr2014205438","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Use of transthoracic echocardiography in the evaluation of chest pain: illustrative cases and review of recent guidelines"],"prefix":"10.1136","volume":"2014","author":[{"given":"Mohammed","family":"Aldwaik","sequence":"first","affiliation":[{"name":"Department of Cardiology, Betsi Cadwaladr University Health Board, Wrexham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aled P","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine, Betsi Cadwaladr University Health Board, Wrexham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Le Feuvre","sequence":"additional","affiliation":[{"name":"Betsi Cadwaladr University Health Board, Wrexham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Cowell","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Betsi Cadwaladr University Health Board, Wrexham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,12,8]]},"reference":[{"key":"2025082801085016000_2014.dec08_1.bcr2014205438.1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2003.027599"},{"key":"2025082801085016000_2014.dec08_1.bcr2014205438.2","unstructured":"National Institute for Health and Clinical Excellence. Chest pain of recent onset: assessment and diagnosis of recent onset chest pain or discomfort of suspected cardiac origin (clinical guideline 95). 2010. http:\/\/www.nice.org.uk\/guidance\/CG95"},{"key":"2025082801085016000_2014.dec08_1.bcr2014205438.3","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2001.116475"},{"key":"2025082801085016000_2014.dec08_1.bcr2014205438.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2010.01166.x"},{"key":"2025082801085016000_2014.dec08_1.bcr2014205438.5","doi-asserted-by":"publisher","DOI":"10.1186\/1532-429X-15-5"},{"issue":"Suppl","key":"2025082801085016000_2014.dec08_1.bcr2014205438.6","first-page":"I85","article-title":"Value of regional wall motion abnormality in the emergency room diagnosis of acute myocardial infarction. A prospective study using two-dimensional echocardiography","volume":"84","author":"Sabia","year":"1991","journal-title":"Circulation"},{"key":"2025082801085016000_2014.dec08_1.bcr2014205438.7","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(92)90499-O"},{"key":"2025082801085016000_2014.dec08_1.bcr2014205438.8","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehr236"},{"key":"2025082801085016000_2014.dec08_1.bcr2014205438.9","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000073597.57414.A9"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-205438","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:09:01Z","timestamp":1756368541000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-205438"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,8]]},"references-count":9,"alternative-id":["10.1136\/bcr-2014-205438"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-205438","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,12,8]]}}}