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There are several conditions that mimic cardiac chest pain, and if you know you have one of these, then it does become an educated "guess" if the pain is the same as it always is, then not going for every chest pain becomes sensible. But acute onset of chest pain that is not normal for you and waking from sleep w/o any previous medical hx of conditions that mimic cardiac events, and w/o any prior tests ruling out cardiac for said pain is playing russian roulette, and the cost of losing is great!
There are several conditions that mimic cardiac chest pain, and if you know you have one of these, then it does become an educated "guess" if the pain is the same as it always is, then not going for every chest pain becomes sensible. But acute onset of chest pain that is not normal for you and waking from sleep w/o any previous medical hx of conditions that mimic cardiac events, and w/o any prior tests ruling out cardiac for said pain is playing russian roulette, and the cost of losing is great!