Chest pain poses a diagnostic challenge in the emergency department and requires a thorough clinical assessment. The traditional distinction between “atypical” and “typical” chest pain carries the risk of not addressing nonischemic clinical pictures. The newly conceived subdivision into cardiac, possibly cardiac, and (probably) noncardiac causes of the presenting symptom complex addresses a much more interdisciplinary approach to a symptom-oriented diagnostic algorithm. The diagnostic structures of the chest pain units in Germany do not currently reflect this. An adaptation should therefore be considered.

中文翻译：

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胸痛的新分类：流行非心源性胸痛，淘汰非典型性胸痛！

胸痛给急诊科的诊断带来了挑战，需要进行彻底的临床评估。“非典型”和“典型”胸痛之间的传统区别存在无法解决非缺血性临床表现的风险。新构思的症状复合体细分为心脏原因、可能心脏原因和（可能）非心脏原因，为以症状为导向的诊断算法提供了一种更加跨学科的方法。德国胸痛科的诊断结构目前并未反映这一点。因此应考虑进行调整。