Ikkekardiell

Ikkekardiell is a term used in Norwegian and some Swedish medical contexts to indicate that a condition, symptom, or finding is not of cardiac origin. It is formed from the negator ikke/icke and the adjective kardiell (cardiac). In clinical notes, the term is used to describe a differential diagnosis step where cardiac etiologies have been considered and largely excluded, or when a non-cardiac cause is more likely.

In practice, ikkerkardiell is often applied to chest pain, dyspnea, palpitations, or arrhythmias after initial assessment including history, physical examination, ECG, serum troponin, and imaging. It signals that management should focus on non-cardiac causes such as musculoskeletal pain, gastroesophageal reflux, pulmonary conditions, anxiety, or esophageal disorders. It is not a formal diagnostic category or ICD term, but a descriptive label used in clinical communication, case reports, or guidelines.

Limitations: the label relies on the quality of the evaluation; premature application risks overlooking rare cardiac conditions. It should be used with caution and in conjunction with follow-up and red flag guidance. In medical literature and patient notes in Norwegian and Swedish-speaking settings, the term appears primarily in discussions of chest pain differential diagnosis and triage.