A man who is in his 50s and comes in with chest pain is MUCH more likely to be suffering a heart attack than an aortic dissection. Like they said in medicine (assuming you live in North America or Europe) "If you hear hoofbeats, think horses, not zebras." I do wonder why there was no chest xray as that's pretty standard with chest pain. However, it sounds like the physicians used their best judgement and went with the most likely cause of his pain.
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