Stable chest-pain evaluation
Educational use only. Not clinically reviewed54-year-old man for Stable chest-pain evaluation. About 7 simulated minutes.
What you will practise
- Verify stability and screen the fixed history for acute or changing features.
- Characterize symptom quality, location, trigger, relief, frequency, and functional impact without using “atypical.”
- Integrate age, sex, symptoms, risk factors, examination claims, and resting ECG into a bounded clinical-likelihood review.
- Record patient-specific noninvasive-testing intent through shared decision-making and local expertise.
- Record follow-up and an explicit acute-change safety net.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Gulati M, Levy PD, Mukherjee D, et al. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain. Circulation. 2021;144:e368-e454. PMID:34709928.
- Vrints C, Andreotti F, Koskinas KC, et al. 2024 ESC Guidelines for the management of chronic coronary syndromes. Eur Heart J. 2024;45:3415-3537. PMID:39210710.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.