Which of the following is NOT a common cause of chest pain in the elderly?

Asthma is less commonly associated with chest pain in the elderly compared to conditions such as heart attack, pneumonia, or aortic dissection. While asthma can lead to respiratory symptoms and discomfort, the primary manifestations are typically wheezing, shortness of breath, and coughing. Chest pain related to asthma is generally less pronounced and not as prominent a symptom as it is with the other conditions listed.

In contrast, heart attacks are a leading cause of chest pain in older adults due to a higher prevalence of cardiovascular disease. Pneumonia can also cause chest pain, particularly if there is pleuritic involvement or severe coughing. Aortic dissection, although rarer, is another serious condition that can present with chest pain, especially in elderly patients with risk factors. Thus, while asthma may contribute to respiratory distress, it is not primarily characterized by chest pain in the elderly, making it the correct answer to the question posed.