Chest Pain in the ER: How Doctors Spot a Heart Attack in Minutes! with Dr. Ankur Masani

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Published Apr 26, 2025

When every second counts, how do emergency physicians distinguish a heart attack from other causes of chest pain? In this fast-paced and informative interview, Dr. Ankur Masani, MD in Emergency Medicine from Vadodara, Gujarat, walks us through how chest pain is assessed in the ER—from triage to ECG to intervention.

Learn about the critical red flags, decision-making tools, and emergency protocols used by frontline physicians to quickly diagnose life-threatening cardiac events and initiate treatment without delay.
???? Topics Covered:

⏰1:11 Chest pain is a frequent and potentially life-threatening presentation in the emergency department. What key factors guide your initial assessment to rapidly differentiate between cardiac and non-cardiac causes?
⏰4:49 With various diagnostic tools at your disposal how do you determine the appropriate sequence and combination to efficiently diagnose the cause of chest pain?
⏰6:11 Certain populations, such as women and diabetics, may exhibit atypical symptoms of acute coronary syndromes. What strategies do you employ to ensure these cases are not overlooked?
⏰7:50 When cardiac causes are ruled out, how do you approach the diagnosis and management of non-cardiac chest pain, such as gastrointestinal or musculoskeletal origins?
⏰ 9:15 While clinical protocols are essential, how do you balance them with individual clinical judgment, especially in ambiguous cases of chest pain?
⏰ 12:59 For patients discharged with non-cardiac chest pain, what key information and follow-up plans do you provide to ensure their safety and understanding?

???? Who Should Watch:
Ideal for emergency physicians, cardiology residents, medical students, and anyone in acute care settings. Also valuable for the general public who want to understand how emergency teams make high-stakes decisions that save lives.

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