[Cardiological aspects of chest pain (author's transl)].

Of all chest pains, the differential diagnosis of angina pectoris is without doubt prominent. The later life of a person is permanently affected by it. Angina pectoris is a complex of complaints which can only be recognized with great reliability through specific questioning of the patient, whereas practically all objective findings such as direct examination of the patient, radiographic and laboratory findings, even the resting ECG are usually negative. Pointers to the presence of a coronary heart disease can only be found after effort in the ECG or cardioscintigram. In the matter of chest pain particularly, the great importance of medical discussion which is, in fact, able to differentiate the clinical picture with great reliability is underlined here.