How cardiologists decide if chest pain is likey to be due to a heart problem?

Hi good morning. Good morning. Now a question that some patients ask is I'm having pain in the chest and they want to know whether it's from the heart or not. How do you as a cardiologist figure this out with tests? Yes sure this is very very important because the main complaint is chest pain. A chest pain could be due to different causes only few are coming from the heart. So to understand if your chest pain, the pains you are experiencing, require tension or or not, you have to consider different factors. First of all, there is factors. If you, for example, smoke, you have family history or heart problem, you have problem of cholesterol, you have diabetes, then if you have chest pain, of course, you need to look at them in a more detailed, pay more attention to them. However, the chest pain can be distinguished by their nature, the quality of the pain. Many people come to me in the consultation with this chest pain, which are sharp, lasting only a few seconds, or increasing in inspiration, or they are increased when they move their arms. These are absolutely no cardiac pain, because a chest pain which is sharp, lasts only a few seconds, increased movement is not coming from the heart. The pain coming from the heart is more characteristic and typical. It's felt mainly like a tightness in your chest, someone sitting on your chest, which can come when you walk, when you exercise, this is already more characteristic and suggestive of blocked arteries. So in this situation it's better to seek medical attention even though this is of course only a video explanation of the chest pain. So chest pain should never be underestimated anyway. You should always go at least to your GP to have it further investigated.