All that is well and good, KK, but nevertheless what the patient WILL get first if he complains of occasional "shooting chest pains" is an EKG.
First order of business is ALWAYS an EKG, good bad or indifferent...like day following night.
As a teenager I had chest pain: EKG in the E/R.
My first visit with each of my primary providers: EKG.
Every annual physical: EKG
Complained of infrequent angina to GP: EKG (AGAIN!)
Refered to a cardiologist: EKG.
Went to hospital for pre-testing: EKG.
Day of admission for angiogram: ANOTHER EKG.
Now, mind you, NONE of my EKG's EVER shows an abnormality.
(If I think hard, I could come up with several more...oh yeah, an EKG to have an EAR implant!)
I am waiting for my DENTIST to pull out the paste-on leads!
I didn't WRITE the book, THEY did.
And they all follow it by rote.