Chest Pain: Pressure, burning, or numbness in the chest.Pain: An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.Chronic Pain: Aching sensation that persists for more than a few months. It may or may not be associated with trauma or disease, and may persist after the initial injury has healed. Its localization, character, and timing are more vague than with acute pain.Pain Management: A form of therapy that employs a coordinated and interdisciplinary approach for easing the suffering and improving the quality of life of those experiencing pain.Pain Threshold: Amount of stimulation required before the sensation of pain is experienced.Pain, Postoperative: Pain during the period after surgery.Pain Measurement: Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.Chest Tubes: Plastic tubes used for drainage of air or fluid from the pleural space. Their surgical insertion is called tube thoracostomy.Back Pain: Acute or chronic pain located in the posterior regions of the THORAX; LUMBOSACRAL REGION; or the adjacent regions.Low Back Pain: Acute or chronic pain in the lumbar or sacral regions, which may be associated with musculo-ligamentous SPRAINS AND STRAINS; INTERVERTEBRAL DISK DISPLACEMENT; and other conditions.Angina Pectoris: The symptom of paroxysmal pain consequent to MYOCARDIAL ISCHEMIA usually of distinctive character, location and radiation. It is thought to be provoked by a transient stressful situation during which the oxygen requirements of the MYOCARDIUM exceed that supplied by the CORONARY CIRCULATION.Pain Clinics: Facilities providing diagnostic, therapeutic, and palliative services for patients with severe chronic pain. These may be free-standing clinics or hospital-based and serve ambulatory or inpatient populations. The approach is usually multidisciplinary. These clinics are often referred to as "acute pain services". (From Br Med Bull 1991 Jul;47(3):762-85)Abdominal Pain: Sensation of discomfort, distress, or agony in the abdominal region.Radiography, Thoracic: X-ray visualization of the chest and organs of the thoracic cavity. It is not restricted to visualization of the lungs.Pain, Intractable: Persistent pain that is refractory to some or all forms of treatment.Neck Pain: Discomfort or more intense forms of pain that are localized to the cervical region. This term generally refers to pain in the posterior or lateral regions of the neck.Electrocardiography: Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.Thoracic Wall: The outer margins of the thorax containing SKIN, deep FASCIA; THORACIC VERTEBRAE; RIBS; STERNUM; and MUSCLES.Pain, Referred: A type of pain that is perceived in an area away from the site where the pain arises, such as facial pain caused by lesion of the VAGUS NERVE, or throat problem generating referred pain in the ear.Microvascular Angina: ANGINA PECTORIS or angina-like chest pain with a normal coronary arteriogram and positive EXERCISE TEST. The cause of the syndrome is unknown. While its recognition is of clinical importance, its prognosis is excellent. (Braunwald, Heart Disease, 4th ed, p1346; Jablonski Dictionary of Syndromes & Eponymic Diseases, 2d ed). It is different from METABOLIC SYNDROME X, a syndrome characterized by INSULIN RESISTANCE and HYPERINSULINEMIA, that has increased risk for cardiovascular disease.Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Thorax: The upper part of the trunk between the NECK and the ABDOMEN. It contains the chief organs of the circulatory and respiratory systems. (From Stedman, 25th ed)Pelvic Pain: Pain in the pelvic region of genital and non-genital origin and of organic or psychogenic etiology. Frequent causes of pain are distension or contraction of hollow viscera, rapid stretching of the capsule of a solid organ, chemical irritation, tissue ischemia, and neuritis secondary to inflammatory, neoplastic, or fibrotic processes in adjacent organs. (Kase, Weingold & Gershenson: Principles and Practice of Clinical Gynecology, 2d ed, pp479-508)Coronary Angiography: Radiography of the vascular system of the heart muscle after injection of a contrast medium.Pain Perception: The process by which PAIN is recognized and interpreted by the brain.Facial Pain: Pain in the facial region including orofacial pain and craniofacial pain. Associated conditions include local inflammatory and neoplastic disorders and neuralgic syndromes involving the trigeminal, facial, and glossopharyngeal nerves. Conditions which feature recurrent or persistent facial pain as the primary manifestation of disease are referred to as FACIAL PAIN SYNDROMES.Myocardial Infarction: NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).Acute Pain: Intensely discomforting, distressful, or agonizing sensation associated with trauma or disease, with well-defined location, character, and timing.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Thoracic Injuries: General or unspecified injuries to the chest area.Exercise Test: Controlled physical activity which is performed in order to allow assessment of physiological functions, particularly cardiovascular and pulmonary, but also aerobic capacity. Maximal (most intense) exercise is usually required but submaximal exercise is also used.Shoulder Pain: Unilateral or bilateral pain of the shoulder. It is often caused by physical activities such as work or sports participation, but may also be pathologic in origin.Coronary Vasospasm: Spasm of the large- or medium-sized coronary arteries.Triage: The sorting out and classification of patients or casualties to determine priority of need and proper place of treatment.Acute Coronary Syndrome: An episode of MYOCARDIAL ISCHEMIA that generally lasts longer than a transient anginal episode that ultimately may lead to MYOCARDIAL INFARCTION.Pericarditis: Inflammation of the PERICARDIUM from various origins, such as infection, neoplasm, autoimmune process, injuries, or drug-induced. Pericarditis usually leads to PERICARDIAL EFFUSION, or CONSTRICTIVE PERICARDITIS.Mass Chest X-Ray: X-ray screening of large groups of persons for diseases of the lung and heart by means of radiography of the chest.Musculoskeletal Pain: Discomfort stemming from muscles, LIGAMENTS, tendons, and bones.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Flail Chest: A complication of multiple rib fractures, rib and sternum fractures, or thoracic surgery. A portion of the chest wall becomes isolated from the thoracic cage and exhibits paradoxical respiration.Troponin T: One of the three polypeptide chains that make up the TROPONIN complex. It is a cardiac-specific protein that binds to TROPOMYOSIN. It is released from damaged or injured heart muscle cells (MYOCYTES, CARDIAC). Defects in the gene encoding troponin T result in FAMILIAL HYPERTROPHIC CARDIOMYOPATHY.Predictive Value of Tests: In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.Acute Disease: Disease having a short and relatively severe course.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Coronary Disease: An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Sensitivity and Specificity: Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)Myocardial Ischemia: A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION).Angina, Unstable: Precordial pain at rest, which may precede a MYOCARDIAL INFARCTION.Analgesics: Compounds capable of relieving pain without the loss of CONSCIOUSNESS.Gastroesophageal Reflux: Retrograde flow of gastric juice (GASTRIC ACID) and/or duodenal contents (BILE ACIDS; PANCREATIC JUICE) into the distal ESOPHAGUS, commonly due to incompetence of the LOWER ESOPHAGEAL SPHINCTER.Esophageal Spasm, Diffuse: A hypermotility disorder of the ESOPHAGUS that is characterized by spastic non-peristaltic responses to SWALLOWING; CHEST PAIN; and DYSPHAGIA.Tietze's Syndrome: Idiopathic painful nonsuppurative swellings of one or more costal cartilages, especially of the second rib. The anterior chest pain may mimic that of coronary artery disease. (Dorland, 27th ed.)Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Troponin I: One of the three polypeptide chains that make up the TROPONIN complex. It inhibits F-actin-myosin interactions.Esophagus: The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.Dyspnea: Difficult or labored breathing.Esophageal Motility Disorders: Disorders affecting the motor function of the UPPER ESOPHAGEAL SPHINCTER; LOWER ESOPHAGEAL SPHINCTER; the ESOPHAGUS body, or a combination of these parts. The failure of the sphincters to maintain a tonic pressure may result in gastric reflux of food and acid into the esophagus (GASTROESOPHAGEAL REFLUX). Other disorders include hypermotility (spastic disorders) and markedly increased amplitude in contraction (nutcracker esophagus).Thoracic Diseases: Disorders affecting the organs of the thorax.Funnel Chest: A developmental anomaly in which the lower sternum is posteriorly dislocated and concavely deformed, resulting in a funnel-shaped thorax.Thoracic NeoplasmsManometry: Measurement of the pressure or tension of liquids or gases with a manometer.Cardiology Service, Hospital: The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cardiac patient.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Pneumothorax: An accumulation of air or gas in the PLEURAL CAVITY, which may occur spontaneously or as a result of trauma or a pathological process. The gas may also be introduced deliberately during PNEUMOTHORAX, ARTIFICIAL.Creatine Kinase: A transferase that catalyzes formation of PHOSPHOCREATINE from ATP + CREATINE. The reaction stores ATP energy as phosphocreatine. Three cytoplasmic ISOENZYMES have been identified in human tissues: the MM type from SKELETAL MUSCLE, the MB type from myocardial tissue and the BB type from nervous tissue as well as a mitochondrial isoenzyme. Macro-creatine kinase refers to creatine kinase complexed with other serum proteins.Nociceptive Pain: Dull or sharp aching pain caused by stimulated NOCICEPTORS due to tissue injury, inflammation or diseases. It can be divided into somatic or tissue pain and VISCERAL PAIN.Emergency Medical Services: Services specifically designed, staffed, and equipped for the emergency care of patients.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Neuralgia: Intense or aching pain that occurs along the course or distribution of a peripheral or cranial nerve.Takotsubo Cardiomyopathy: A transient left ventricular apical dysfunction or ballooning accompanied by electrocardiographic (ECG) T wave inversions. This abnormality is associated with high levels of CATECHOLAMINES, either administered or endogenously secreted from a tumor or during extreme stress.Emergencies: Situations or conditions requiring immediate intervention to avoid serious adverse results.Coronary Artery Disease: Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.Chronic Disease: Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)Diagnostic Techniques, Cardiovascular: Methods and procedures for the diagnosis of diseases or dysfunction of the cardiovascular system or its organs or demonstration of their physiological processes.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Diagnostic Errors: Incorrect diagnoses after clinical examination or technical diagnostic procedures.Prognosis: A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.Biological Markers: Measurable and quantifiable biological parameters (e.g., specific enzyme concentration, specific hormone concentration, specific gene phenotype distribution in a population, presence of biological substances) which serve as indices for health- and physiology-related assessments, such as disease risk, psychiatric disorders, environmental exposure and its effects, disease diagnosis, metabolic processes, substance abuse, pregnancy, cell line development, epidemiologic studies, etc.Coronary Care Units: The hospital unit in which patients with acute cardiac disorders receive intensive care.Mediastinal Emphysema: Presence of air in the mediastinal tissues due to leakage of air from the tracheobronchial tree, usually as a result of trauma.Analgesics, Opioid: Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.Echocardiography: Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.Syndrome: A characteristic symptom complex.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Chest Wall Oscillation: A respiratory support system used to remove mucus and clear airway by oscillating pressure on the chest.Thoracotomy: Surgical incision into the chest wall.Pleural DiseasesRibs: A set of twelve curved bones which connect to the vertebral column posteriorly, and terminate anteriorly as costal cartilage. Together, they form a protective cage around the internal thoracic organs.Sternum: A long, narrow, and flat bone commonly known as BREASTBONE occurring in the midsection of the anterior thoracic segment or chest region, which stabilizes the rib cage and serves as the point of origin for several muscles that move the arms, head, and neck.Hospital Units: Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.Deglutition Disorders: Difficulty in SWALLOWING which may result from neuromuscular disorder or mechanical obstruction. Dysphagia is classified into two distinct types: oropharyngeal dysphagia due to malfunction of the PHARYNX and UPPER ESOPHAGEAL SPHINCTER; and esophageal dysphagia due to malfunction of the ESOPHAGUS.Hemothorax: Hemorrhage within the pleural cavity.Hemoptysis: Expectoration or spitting of blood originating from any part of the RESPIRATORY TRACT, usually from hemorrhage in the lung parenchyma (PULMONARY ALVEOLI) and the BRONCHIAL ARTERIES.Complex Regional Pain Syndromes: Conditions characterized by pain involving an extremity or other body region, HYPERESTHESIA, and localized autonomic dysfunction following injury to soft tissue or nerve. The pain is usually associated with ERYTHEMA; SKIN TEMPERATURE changes, abnormal sudomotor activity (i.e., changes in sweating due to altered sympathetic innervation) or edema. The degree of pain and other manifestations is out of proportion to that expected from the inciting event. Two subtypes of this condition have been described: type I; (REFLEX SYMPATHETIC DYSTROPHY) and type II; (CAUSALGIA). (From Pain 1995 Oct;63(1):127-33)Psychophysiologic Disorders: A group of disorders characterized by physical symptoms that are affected by emotional factors and involve a single organ system, usually under AUTONOMIC NERVOUS SYSTEM control. (American Psychiatric Glossary, 1988)Thoracostomy: Surgical procedure involving the creation of an opening (stoma) into the chest cavity for drainage; used in the treatment of PLEURAL EFFUSION; PNEUMOTHORAX; HEMOTHORAX; and EMPYEMA.Lung Diseases: Pathological processes involving any part of the LUNG.Heart Massage: Rhythmic compression of the heart by pressure applied manually over the sternum (closed heart massage) or directly to the heart through an opening in the chest wall (open heart massage). It is done to reinstate and maintain circulation. (Dorland, 28th ed)Myofascial Pain Syndromes: Muscular pain in numerous body regions that can be reproduced by pressure on TRIGGER POINTS, localized hardenings in skeletal muscle tissue. Pain is referred to a location distant from the trigger points. A prime example is the TEMPOROMANDIBULAR JOINT DYSFUNCTION SYNDROME.Hyperalgesia: An increased sensation of pain or discomfort produced by mimimally noxious stimuli due to damage to soft tissue containing NOCICEPTORS or injury to a peripheral nerve.Pericardial Effusion: Fluid accumulation within the PERICARDIUM. Serous effusions are associated with pericardial diseases. Hemopericardium is associated with trauma. Lipid-containing effusion (chylopericardium) results from leakage of THORACIC DUCT. Severe cases can lead to CARDIAC TAMPONADE.Physical Examination: Systematic and thorough inspection of the patient for physical signs of disease or abnormality.Visceral Pain: Pain originating from internal organs (VISCERA) associated with autonomic phenomena (PALLOR; SWEATING; NAUSEA; and VOMITING). It often becomes a REFERRED PAIN.Angina Pectoris, Variant: A clinical syndrome characterized by the development of CHEST PAIN at rest with concomitant transient ST segment elevation in the ELECTROCARDIOGRAM, but with preserved exercise capacity.Thoracic Surgical Procedures: Surgery performed on the thoracic organs, most commonly the lungs and the heart.Troponin: One of the minor protein components of skeletal muscle. Its function is to serve as the calcium-binding component in the troponin-tropomyosin B-actin-myosin complex by conferring calcium sensitivity to the cross-linked actin and myosin filaments.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Anxiety: Feeling or emotion of dread, apprehension, and impending disaster but not disabling as with ANXIETY DISORDERS.Pleura: The thin serous membrane enveloping the lungs (LUNG) and lining the THORACIC CAVITY. Pleura consist of two layers, the inner visceral pleura lying next to the pulmonary parenchyma and the outer parietal pleura. Between the two layers is the PLEURAL CAVITY which contains a thin film of liquid.Coronary Stenosis: Narrowing or constriction of a coronary artery.Dipyridamole: A phosphodiesterase inhibitor that blocks uptake and metabolism of adenosine by erythrocytes and vascular endothelial cells. Dipyridamole also potentiates the antiaggregating action of prostacyclin. (From AMA Drug Evaluations Annual, 1994, p752)Double-Blind Method: A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.Xiphoid Bone: Also called xiphoid process, it is the smallest and most inferior triangular protrusion of the STERNUM or breastbone that extends into the center of the ribcage.Arthralgia: Pain in the joint.Creatine Kinase, MB Form: An isoenzyme of creatine kinase found in the CARDIAC MUSCLE.Pulmonary Embolism: Blocking of the PULMONARY ARTERY or one of its branches by an EMBOLUS.Tomography, Emission-Computed, Single-Photon: A method of computed tomography that uses radionuclides which emit a single photon of a given energy. The camera is rotated 180 or 360 degrees around the patient to capture images at multiple positions along the arc. The computer is then used to reconstruct the transaxial, sagittal, and coronal images from the 3-dimensional distribution of radionuclides in the organ. The advantages of SPECT are that it can be used to observe biochemical and physiological processes as well as size and volume of the organ. The disadvantage is that, unlike positron-emission tomography where the positron-electron annihilation results in the emission of 2 photons at 180 degrees from each other, SPECT requires physical collimation to line up the photons, which results in the loss of many available photons and hence degrades the image.MainePleurisy: INFLAMMATION of PLEURA, the lining of the LUNG. When PARIETAL PLEURA is involved, there is pleuritic CHEST PAIN.Emergency Treatment: First aid or other immediate intervention for accidents or medical conditions requiring immediate care and treatment before definitive medical and surgical management can be procured.Fatal Outcome: Death resulting from the presence of a disease in an individual, as shown by a single case report or a limited number of patients. This should be differentiated from DEATH, the physiological cessation of life and from MORTALITY, an epidemiological or statistical concept.Rib FracturesAnalgesia: Methods of PAIN relief that may be used with or in place of ANALGESICS.Coronary Vessels: The veins and arteries of the HEART.Coronary Circulation: The circulation of blood through the CORONARY VESSELS of the HEART.Single-Blind Method: A method in which either the observer(s) or the subject(s) is kept ignorant of the group to which the subjects are assigned.Pleural Effusion: Presence of fluid in the pleural cavity resulting from excessive transudation or exudation from the pleural surfaces. It is a sign of disease and not a diagnosis in itself.Diagnostic Tests, Routine: Diagnostic procedures, such as laboratory tests and x-rays, routinely performed on all individuals or specified categories of individuals in a specified situation, e.g., patients being admitted to the hospital. These include routine tests administered to neonates.Heart Diseases: Pathological conditions involving the HEART including its structural and functional abnormalities.ROC Curve: A graphic means for assessing the ability of a screening test to discriminate between healthy and diseased persons; may also be used in other studies, e.g., distinguishing stimuli responses as to a faint stimuli or nonstimuli.Labor Pain: Pain associated with OBSTETRIC LABOR in CHILDBIRTH. It is caused primarily by UTERINE CONTRACTION as well as pressure on the CERVIX; BLADDER; and the GASTROINTESTINAL TRACT. Labor pain mostly occurs in the ABDOMEN; the GROIN; and the BACK.Cough: A sudden, audible expulsion of air from the lungs through a partially closed glottis, preceded by inhalation. It is a protective response that serves to clear the trachea, bronchi, and/or lungs of irritants and secretions, or to prevent aspiration of foreign materials into the lungs.Esophageal Perforation: An opening or hole in the ESOPHAGUS that is caused by TRAUMA, injury, or pathological process.Echocardiography, Stress: A method of recording heart motion and internal structures by combining ultrasonic imaging with exercise testing (EXERCISE TEST) or pharmacologic stress.Heart Murmurs: Heart sounds caused by vibrations resulting from the flow of blood through the heart. Heart murmurs can be examined by HEART AUSCULTATION, and analyzed by their intensity (6 grades), duration, timing (systolic, diastolic, or continuous), location, transmission, and quality (musical, vibratory, blowing, etc).Recurrence: The return of a sign, symptom, or disease after a remission.Hospitalization: The confinement of a patient in a hospital.Cardiac Catheterization: Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Wounds, Nonpenetrating: Injuries caused by impact with a blunt object where there is no penetration of the skin.Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Ergonovine: An ergot alkaloid (ERGOT ALKALOIDS) with uterine and VASCULAR SMOOTH MUSCLE contractile properties.Drainage: The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.Aneurysm, Dissecting: Aneurysm caused by a tear in the TUNICA INTIMA of a blood vessel leading to interstitial HEMORRHAGE, and splitting (dissecting) of the vessel wall, often involving the AORTA. Dissection between the intima and media causes luminal occlusion. Dissection at the media, or between the media and the outer adventitia causes aneurismal dilation.Nociceptors: Peripheral AFFERENT NEURONS which are sensitive to injuries or pain, usually caused by extreme thermal exposures, mechanical forces, or other noxious stimuli. Their cell bodies reside in the DORSAL ROOT GANGLIA. Their peripheral terminals (NERVE ENDINGS) innervate target tissues and transduce noxious stimuli via axons to the CENTRAL NERVOUS SYSTEM.Mediastinal Cyst: Cysts of one of the parts of the mediastinum: the superior part, containing the trachea, esophagus, thoracic duct and thymus organs; the inferior middle part, containing the pericardium; the inferior anterior part containing some lymph nodes; and the inferior posterior part, containing the thoracic duct and esophagus.Cardiac Care Facilities: Institutions specializing in the care of patients with heart disorders.Medical History Taking: Acquiring information from a patient on past medical conditions and treatments.Dobutamine: A catecholamine derivative with specificity for BETA-1 ADRENERGIC RECEPTORS. It is commonly used as a cardiotonic agent after CARDIAC SURGERY and during DOBUTAMINE STRESS ECHOCARDIOGRAPHY.Patient Discharge: The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.Myoglobin: A conjugated protein which is the oxygen-transporting pigment of muscle. It is made up of one globin polypeptide chain and one heme group.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Technetium Tc 99m Sestamibi: A technetium imaging agent used to reveal blood-starved cardiac tissue during a heart attack.Cardiology: The study of the heart, its physiology, and its functions.Thoracic Surgery, Video-Assisted: Endoscopic surgery of the pleural cavity performed with visualization via video transmission.Stomach Diseases: Pathological processes involving the STOMACH.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Evidence-Based Emergency Medicine: A way of providing emergency medical care that is guided by a thoughtful integration of the best available scientific knowledge with clinical expertise in EMERGENCY MEDICINE. This approach allows the practitioner to critically assess research data, clinical guidelines, and other information resources in order to correctly identify the clinical problem, apply the most high-quality intervention, and re-evaluate the outcome for future improvement.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Analysis of Variance: A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.Cardiac Tamponade: Compression of the heart by accumulated fluid (PERICARDIAL EFFUSION) or blood (HEMOPERICARDIUM) in the PERICARDIUM surrounding the heart. The affected cardiac functions and CARDIAC OUTPUT can range from minimal to total hemodynamic collapse.Manipulation, Chiropractic: Procedures used by chiropractors to treat neuromusculoskeletal complaints.Myocardial Revascularization: The restoration of blood supply to the myocardium. (From Dorland, 28th ed)Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.Bronchoscopy: Endoscopic examination, therapy or surgery of the bronchi.Thallium Radioisotopes: Unstable isotopes of thallium that decay or disintegrate emitting radiation. Tl atoms with atomic weights 198-202, 204, and 206-210 are thallium radioisotopes.Heart: The hollow, muscular organ that maintains the circulation of the blood.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Gastrointestinal Diseases: Diseases in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM.Isosorbide Dinitrate: A vasodilator used in the treatment of ANGINA PECTORIS. Its actions are similar to NITROGLYCERIN but with a slower onset of action.Lung: Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood.Fibromyalgia: A common nonarticular rheumatic syndrome characterized by myalgia and multiple points of focal muscle tenderness to palpation (trigger points). Muscle pain is typically aggravated by inactivity or exposure to cold. This condition is often associated with general symptoms, such as sleep disturbances, fatigue, stiffness, HEADACHES, and occasionally DEPRESSION. There is significant overlap between fibromyalgia and the chronic fatigue syndrome (FATIGUE SYNDROME, CHRONIC). Fibromyalgia may arise as a primary or secondary disease process. It is most frequent in females aged 20 to 50 years. (From Adams et al., Principles of Neurology, 6th ed, p1494-95)Anesthetics, Local: Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.Empyema, Pleural: Suppurative inflammation of the pleural space.Clinical Protocols: Precise and detailed plans for the study of a medical or biomedical problem and/or plans for a regimen of therapy.Vasodilator Agents: Drugs used to cause dilation of the blood vessels.Musculoskeletal Diseases: Diseases of the muscles and their associated ligaments and other connective tissue and of the bones and cartilage viewed collectively.Nitroglycerin: A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives.Disability Evaluation: Determination of the degree of a physical, mental, or emotional handicap. The diagnosis is applied to legal qualification for benefits and income under disability insurance and to eligibility for Social Security and workmen's compensation benefits.Clinical Enzyme Tests: Analyses for a specific enzyme activity, or of the level of a specific enzyme that is used to assess health and disease risk, for early detection of disease or disease prediction, diagnosis, and change in disease status.Hypnosis: A state of increased receptivity to suggestion and direction, initially induced by the influence of another person.Mediastinal Diseases: Disorders of the mediastinum, general or unspecified.Esophageal Achalasia: A motility disorder of the ESOPHAGUS in which the LOWER ESOPHAGEAL SPHINCTER (near the CARDIA) fails to relax resulting in functional obstruction of the esophagus, and DYSPHAGIA. Achalasia is characterized by a grossly contorted and dilated esophagus (megaesophagus).Intercostal Nerves: The ventral rami of the thoracic nerves from segments T1 through T11. The intercostal nerves supply motor and sensory innervation to the thorax and abdomen. The skin and muscles supplied by a given pair are called, respectively, a dermatome and a myotome.Aortic Aneurysm: An abnormal balloon- or sac-like dilatation in the wall of AORTA.Ambulances: A vehicle equipped for transporting patients in need of emergency care.Thoracoscopy: Endoscopic examination, therapy or surgery of the pleural cavity.Magnetic Resonance Imaging: Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Coronary Vessel Anomalies: Malformations of CORONARY VESSELS, either arteries or veins. Included are anomalous origins of coronary arteries; ARTERIOVENOUS FISTULA; CORONARY ANEURYSM; MYOCARDIAL BRIDGING; and others.Streptokinase: Streptococcal fibrinolysin . An enzyme produced by hemolytic streptococci. It hydrolyzes amide linkages and serves as an activator of plasminogen. It is used in thrombolytic therapy and is used also in mixtures with streptodornase (STREPTODORNASE AND STREPTOKINASE). EC 3.4.-.Thallium: A heavy, bluish white metal, atomic number 81, atomic weight [204.382; 204.385], symbol Tl.Point-of-Care Systems: Laboratory and other services provided to patients at the bedside. These include diagnostic and laboratory testing using automated information entry.Subcutaneous Emphysema: Presence of air or gas in the subcutaneous tissues of the body.Catastrophization: Cognitive and emotional processes encompassing magnification of pain-related stimuli, feelings of helplessness, and a generally pessimistic orientation.Lung Abscess: Solitary or multiple collections of PUS within the lung parenchyma as a result of infection by bacteria, protozoa, or other agents.

Dissecting intramural haematoma of the oesophagus. (1/1212)

The largest series of patients (n = 10) with dissecting intramural haematoma of the oesophagus is described. The typical features, chest pain with odynophagia or dysphagia and minor haematemesis are usually present but not always elicited at presentation. If elicited, these symptoms should suggest the diagnosis and avoid mistaken attribution to a cardiac origin for the pain. Precipitating factors such as a forced Valsalva manoeuvre cannot be identified in at least half the cases. Early endoscopy is safe, and confirms the diagnosis when an haematoma within the oesophageal wall or the later appearances of a longitudinal ulcer are seen. Dissecting intramural haematoma of the oesophagus has an excellent prognosis when managed conservatively.  (+info)

The effect of race and sex on physicians' recommendations for cardiac catheterization. (2/1212)

BACKGROUND: Epidemiologic studies have reported differences in the use of cardiovascular procedures according to the race and sex of the patient. Whether the differences stem from differences in the recommendations of physicians remains uncertain. METHODS: We developed a computerized survey instrument to assess physicians' recommendations for managing chest pain. Actors portrayed patients with particular characteristics in scripted interviews about their symptoms. A total of 720 physicians at two national meetings of organizations of primary care physicians participated in the survey. Each physician viewed a recorded interview and was given other data about a hypothetical patient. He or she then made recommendations about that patient's care. We used multivariate logistic-regression analysis to assess the effects of the race and sex of the patients on treatment recommendations, while controlling for the physicians' assessment of the probability of coronary artery disease as well as for the age of the patient, the level of coronary risk, the type of chest pain, and the results of an exercise stress test. RESULTS: The physicians' mean (+/-SD) estimates of the probability of coronary artery disease were lower for women (probability, 64.1+/-19.3 percent, vs. 69.2+/-18.2 percent for men; P<0.001), younger patients (63.8+/-19.5 percent for patients who were 55 years old, vs. 69.5+/-17.9 percent for patients who were 70 years old; P<0.001), and patients with nonanginal pain (58.3+/-19.0 percent, vs. 64.4+/-18.3 percent for patients with possible angina and 77.1+/-14.0 percent for those with definite angina; P=0.001). Logistic-regression analysis indicated that women (odds ratio, 0.60; 95 percent confidence interval, 0.4 to 0.9; P=0.02) and blacks (odds ratio, 0.60; 95 percent confidence interval, 0.4 to 0.9; P=0.02) were less likely to be referred for cardiac catheterization than men and whites, respectively. Analysis of race-sex interactions showed that black women were significantly less likely to be referred for catheterization than white men (odds ratio, 0.4; 95 percent confidence interval, 0.2 to 0.7; P=0.004). CONCLUSIONS: Our findings suggest that the race and sex of a patient independently influence how physicians manage chest pain.  (+info)

Intimal tear without hematoma: an important variant of aortic dissection that can elude current imaging techniques. (3/1212)

BACKGROUND: The modern imaging techniques of transesophageal echocardiography, CT, and MRI are reported to have up to 100% sensitivity in detecting the classic class of aortic dissection; however, anecdotal reports of patient deaths from a missed diagnosis of subtle classes of variants are increasingly being noted. METHODS AND RESULTS: In a series of 181 consecutive patients who had ascending or aortic arch repairs, 9 patients (5%) had subtle aortic dissection not diagnosed preoperatively. All preoperative studies in patients with missed aortic dissection were reviewed in detail. All 9 patients (2 with Marfan syndrome, 1 with Takayasu's disease) with undiagnosed aortic dissection had undergone >/=3 imaging techniques, with the finding of ascending aortic dilatation (4.7 to 9 cm) in all 9 and significant aortic valve regurgitation in 7. In 6 patients, an eccentric ascending aortic bulge was present but not diagnostic of aortic dissection on aortography. At operation, aortic dissection tears were limited in extent and involved the intima without extensive undermining of the intima or an intimal "flap." Eight had composite valve grafts inserted, and all survived. Of the larger series of 181 patients, 98% (179 of 181) were 30-day survivors. CONCLUSIONS: In patients with suspected aortic dissection not proven by modern noninvasive imaging techniques, further study should be performed, including multiple views of the ascending aorta by aortography. If patients have an ascending aneurysm, particularly if eccentric on aortography and associated with aortic valve regurgitation, an urgent surgical repair should be considered, with excellent results expected.  (+info)

Quality of life four years after acute myocardial infarction: short form 36 scores compared with a normal population. (4/1212)

OBJECTIVES: To assess the impact of myocardial infarction on quality of life in four year survivors compared to data from "community norms", and to determine factors associated with a poor quality of life. DESIGN: Cohort study based on the Nottingham heart attack register. SETTING: Two district general hospitals serving a defined urban/rural population. SUBJECTS: All patients admitted with acute myocardial infarction during 1992 and alive at a median of four years. MAIN OUTCOME MEASURES: Short form 36 (SF 36) domain and overall scores. RESULTS: Of 900 patients with an acute myocardial infarction in 1992, there were 476 patients alive and capable of responding to a questionnaire in 1997. The response rate was 424 (89. 1%). Compared to age and sex adjusted normative data, patients aged under 65 years exhibited impairment in all eight domains, the largest differences being in physical functioning (mean difference 20 points), role physical (mean difference 23 points), and general health (mean difference 19 points). In patients over 65 years mean domain scores were similar to community norms. Multiple regression analysis revealed that impaired quality of life was closely associated with inability to return to work through ill health, a need for coronary revascularisation, the use of anxiolytics, hypnotics or inhalers, the need for two or more angina drugs, a frequency of chest pain one or more times per week, and a Rose dyspnoea score of >/= 2. CONCLUSIONS: The SF 36 provides valuable additional information for the practising clinician. Compared to community norms the greatest impact on quality of life is seen in patients of working age. Impaired quality of life was reported by patients unfit for work, those with angina and dyspnoea, patients with coexistent lung disease, and those with anxiety and sleep disturbances. Improving quality of life after myocardial infarction remains a challenge for physicians.  (+info)

Management of non-cardiac chest pain: from research to clinical practice. (5/1212)

BACKGROUND: Non-cardiac chest pain assessed by cardiologists in their outpatient clinics or by coronary angiography usually has a poor symptomatic functional and psychological outcome. Randomised trials have shown the effectiveness of specialist psychological treatment with those who have persistent symptoms, but such treatment is not always acceptable to patients and may not be feasible in routine clinical settings. OBJECTIVES: To describe a sample of patients referred to cardiac outpatient clinics from primary care in a single health district who were consecutively reassured by cardiologists that there was not a cardiac cause for their presenting symptom of chest pain. DESIGN: Systematic recording of referral and medical information of patients consecutively reassured by cardiologists. Reassessment in research clinic six weeks later (with a view to inclusion in a randomised trial of psychological treatment, which has been separately reported) and followed up at six months. SETTING: A cardiac clinic in a teaching hospital providing a district service to patients referred from primary care. PATIENTS: 133 patients from the Oxfordshire district presenting with chest pain and consecutively reassured that there was no cardiac cause during the recruitment period; 69 had normal coronary angiograms and 64 were reassured without angiography. INTERVENTION: A subgroup (n = 56) with persistent disabling chest pain at six weeks were invited to take part in a randomised controlled trial of cognitive behavioural treatment. MAIN OUTCOME MEASURES: Standardised interview and self report measures of chest pain, other physical symptoms, mood and anxiety, everyday activities, and beliefs about the cause of symptoms at six week assessment; repeat of self report measures at six months. RESULTS: Patients had a good outcome at six weeks, but most had persistent, clinically significant symptoms and distress. Some found the six week assessment and discussion useful. The psychological treatment was helpful to most of those recruited to the treatment trial, but a minority (15%) of those treated appeared to need more intensive and individual collaborative management. Patients reassured following angiography were compared with those reassured without invasive investigation. They had longer histories of chest pain, more often reported breathlessness on exertion, and were more likely to have previously been diagnosed as having angina, treated with antianginal medication, and admitted to hospital as emergencies. CONCLUSION: These findings suggest a need for "stepped" aftercare, with management tailored according to clinical need. This may range from simple reassurance and explanation in the cardiac clinic to more intensive individual psychological treatment of associated underlying and often enduring psychological problems. Simple ways in which the cardiologist might improve care to patients with non-cardiac chest pain are suggested, and the need for access to specialist psychological treatment discussed.  (+info)

Group psychological treatment for chest pain with normal coronary arteries. (6/1212)

We used a psychological treatment package (education, relaxation, breathing training, graded exposure to activity and exercise, and challenging automatic thoughts about heart disease) to treat 60 patients who had continuing chest pain despite cardiological reassurance following haemodynamically normal angiography. The treatment was delivered in six sessions over eight weeks to groups of up to six patients. The patients kept daily records of chest pain episode frequency and nitrate use. Questionnaires were used to assess anxiety, depression and disability. Exercise tolerance was tested by treadmill electrocardiography, with capnographic assessment of hyperventilation. The results were compared with waiting-list controls. Treatment significantly reduced chest pain episodes (p < 0.01) from median 6.5 to 2.5 per week. There were significant improvements in anxiety and depression scores (p < 0.05), disability rating (p < 0.0001) and exercise tolerance (p < 0.05), and these were maintained at six month follow-up. Treatment reduced the prevalence of hyperventilation from 54% to 34% (p < 0.01) but not the prevalence of ECG-positive exercise tests. Patients continuing to attribute their pain to heart disease had poorer outcomes. Group psychological treatment for non-cardiac chest pain is feasible, reduces pain, psychological morbidity and disability, and improves exercise tolerance.  (+info)

Direct evidence of endothelial injury in acute myocardial infarction and unstable angina by demonstration of circulating endothelial cells. (7/1212)

Circulating endothelial cells (CECs) have been detected in association with endothelial injury and therefore represent proof of serious damage to the vascular tree. Our aim was to investigate, using the technique of immunomagnetic separation, whether the pathological events in unstable angina (UA) or acute myocardial infarction (AMI) could cause desquamation of endothelial cells in circulating blood compared with effort angina (EA) and noncoronary chest pain. A high CEC count was found in AMI (median, 7.5 cells/mL; interquartile range, 4.1 to 43.5, P <.01 analysis of variance [ANOVA]) and UA (4.5; 0.75 to 13.25 cells/mL, P <.01) within 12 hours after chest pain as compared with controls (0; 0 to 0 cells/mL) and stable angina (0; 0 to 0 cells/mL). CEC levels in serial samples peaked at 15.5 (2.7 to 39) cells/mL 18 to 24 hours after AMI (P <.05 repeated measures ANOVA), but fell steadily after UA. Regardless of acute coronary events, the isolated cells displayed morphologic and immunologic features of vascular endothelium. The CECs were predominantly of macrovascular origin. They did not express the activation markers intercellular adhesion molecule (ICAM)-1, vascular cell adhesion molecule (VCAM)-1, and E-selectin, although some were positive for tissue factor. CECs failed to exhibit characteristics of apoptosis (TUNEL assay) excluding this event as a possible mechanism of cell detachment. The presence of CECs provides direct evidence of endothelial injury in AMI and UA, but not in stable angina, confirming that these diseases have different etiopathogenic mechanisms.  (+info)

Comparison of myocardial perfusion imaging and cardiac troponin I in patients admitted to the emergency department with chest pain. (8/1212)

BACKGROUND: Identification of patients with acute coronary syndromes (ACS) among those who present to emergency departments with possible myocardial ischemia is difficult. Myocardial perfusion imaging with 99mTc sestamibi and measurement of serum cardiac troponin I (cTnI) both can identify patients with ACS. METHODS AND RESULTS: Patients considered at low to moderate risk for ACS underwent gated single-photon emission CT sestamibi imaging and serial myocardial marker measurements of creatine kinase-MB, total creatine kinase activity, and cTnI over 8 hours. Positive perfusion imaging was defined as a perfusion defect with associated abnormalities in wall motion or thickening. cTnI >/=2.0 ng/mL was considered abnormal. Among the 620 patients studied, 59 (9%) had myocardial infarction and 81 (13%) had significant coronary disease; of these patients, 58 underwent revascularization. Perfusion imaging was positive in 241 patients (39%), initial cTnI was positive in 37 (6%), and cTnI was >/=2.0 ng/mL in 74 (12%). Sensitivity for detecting myocardial infarction was not significantly different between perfusion imaging (92%) and cTnI (90%), and both were significantly higher than the initial cTnI (39%). Sensitivity for predicting revascularization or significant coronary disease was significantly higher for perfusion imaging than for serial cTnI, although specificity for all end points was significantly lower. Lowering the cutoff value of cTnI to 1.0 ng/mL did not significantly change the results. CONCLUSIONS: Early perfusion imaging and serial cTnI have comparable sensitivities for identifying myocardial infarction. Perfusion imaging identified more patients who underwent revascularization or who had significant coronary disease, but it had lower specificity. The 2 tests can provide complementary information for identifying patients at risk for ACS.  (+info)

*Lassa fever

... and muscle pains.[1] Less commonly there may be bleeding from the mouth or gastrointestinal tract.[1] The risk of death once ... In cases with abdominal pain, in countries where Lassa is common, Lassa fever is often misdiagnosed as appendicitis and ...

*Moclobemide

Fibromyalgia, moclobemide has been found to improve pain and functioning in this group of people.[44] ... Angina/chest pain. *Phlebetic symptoms. *Flushing. *Exanthema/rash. *Allergic skin reaction. *Itching ...

*Costochondritis

... symptoms can be similar to the chest pain associated with a heart attack.[6][7] Chest pain is considered a ... of emergency room chest-pain-related visits. One-fifth of visits to the primary care physician are for musculoskeletal chest ... Costochondritis, also known as chest wall pain, costosternal syndrome, or costosternal chondrodynia[1] is an acute[2] and often ... The condition is a common cause of chest pain.[1][3][4] Though costochondritis often resolves on its own, it can be a recurring ...

*Emergency Severity Index

Cardiac-related chest pain. Asthma attack 3. Urgent. Stable, with multiple types of resources needed to investigate or treat ( ... Abdominal pain. High fever with cough 4. Less Urgent. Stable, with only one type of resource anticipated (such as only an X-ray ... Pain on urination 5. Nonurgent. Stable, with no resources anticipated except oral or topical medications, or prescriptions. ...

*Generalized anxiety disorder

Symptoms concerning chest and abdomen. (5) Difficulty breathing.. (6) Feeling of choking.. (7) Chest pain or discomfort.. (8) ... 15) Muscle tension or aches and pains.. (16) Restlessness and inability to relax.. (17) Feeling keyed up, or on edge, or of ... Patients with GAD can sometimes present with symptoms such as insomnia or headaches as well as pain, cardiac events and ...

*Traumatic aortic rupture

... and presenting with chest and back pain. They had pseudoaneurysms. They usually had large aneurysms that caused pain. ... There can be bruising of the anterior chest wall, and a systolic murmur can be heard on the bottom of the heart.[5] ... A normal chest x-ray does not exclude transection, but will diagnose conditions such as pneumothorax or hydrothorax. The aorta ... The classical findings on a chest X-ray will be widened mediastinum,[4] apical cap, and displacement of the trachea, left main ...

*Isosorbide dinitrate

... (ISDN) is a medication used for heart failure, esophageal spasms, and to treat and prevent chest pain from ... new or worsening chest pain; vomiting.. *Impaired biotransformation of ISDN to its active principle NO (or a NO-related species ... Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, ... administration for relief of pain, as well as severe hypotension, and, in certain cases, bradycardia. This makes some ...

*Right ventricular hypertrophy

Chest pains. *Shortness of breath. *Pressure on the chest. *Rapid heartbeats. *Heart palpitations ...

*Congenital heart defect

It does not cause chest pain.[2] Most congenital heart problems do not occur with other diseases.[3] Complications that can ...

*Levosalbutamol

... chest pain (possible precursor of a heart attack); fast, pounding heartbeat, which may cause raised blood pressure ( ... Hendeles L, Hartzema A (September 2003). "Levalbuterol is not more cost-effective than albuterol for COPD". Chest. 124 (3): ... 1176; author reply 1176-8. doi:10.1378/chest.124.3.1176. PMID 12970057. American Society of Health-System Pharmacists (1 ...

*Tuberculosis - Simple English Wikipedia, the free encyclopedia

Chest X-ray of a person with advanced tuberculosis. White arrows point to infection in both lungs. Black arrows point to a ... Doctors often look at an X-ray of the chest. In addition, they check body fluids. These fluids have microbes in them, which are ... Chest pain. *Not having any appetite. *Weakness. *Weight loss. *Chills. *Very pale skin ...

*Abscess of thymus

It can present with chest pain behind the sternum. It can be associated with congenital syphilis. Although the thymus is ...

*Obesity hypoventilation syndrome

... decreased exercise tolerance and exertional chest pain may occur. On physical examination, characteristic findings are the ... work of breathing is increased as adipose tissue restricts the normal movement of the chest muscles and makes the chest wall ... such as a chest X-ray or CT/CAT scan), spirometry, electrocardiography and echocardiography may be performed. Echo- and ... severe chest wall disorders such as kyphoscoliosis, severe hypothyroidism (underactive thyroid), neuromuscular disease or ...

*Pericardial effusion

Play media Chest pain or pressure are common symptoms. A small effusion may be asymptomatic. Larger effusions may cause cardiac ... most commonly by a needle inserted through the chest wall and into the pericardial space called pericardiocentesis. A drainage ...

*Pneumomediastinum

Yellin A, Gapany-Gapanavicius M, Lieberman Y (1983). "Spontaneous Pneumomedistinum: Is It a Rare Cause of Chest Pain?". Thorax ... The main symptom is usually severe central chest pain. Other symptoms include laboured breathing, voice distortion (as with ... The diagnosis can be confirmed via chest X-ray showing a radiolucent outline around the heart and mediastinum or via CT ... In rare cases, pneumomediastinum may also arise as a result of blunt chest trauma (e.g. car accidents, fights, over pressure of ...

*Sipuleucel-T

... body aches or pain; chest pain; chills; confusion; cough; diarrhea; difficult, burning, or painful urination; difficulty with ... Common side effects include: bladder pain; bloating or swelling of the face, arms, hands, lower legs, or feet; bloody or cloudy ...

*Oprelvekin

Symptoms have been edema of the face and tongue, or larynx; shortness of breath; wheezing; chest pain; hypotension (including ... Reactions at the injection site are usually mild and consist of skin-reaction (dermatitis), pain or discoloration. They do not ... Injection site reaction like have also been observed (dermatitis, pain, and discoloration), but are usually mild. The ...

*Gemeprost

... chest pain; palpitations and mild pyrexia. Rare: Uterine rupture, severe hypotension, coronary spasms with subsequent ...

*Non-Hodgkin lymphoma

Other symptoms may include bone pain, chest pain, or itchiness. Some forms are slow growing while others are fast growing.[1] ... Other symptoms may include bone pain, chest pain or itchiness.[1] Some forms are slow-growing, while others are fast-growing.[1 ...

*Cocaine intoxication

The chest pain, high blood pressure, and increased heart rate caused by cocaine may be also treated with a benzodiazepine. ... Nitroglycerin is useful for cocaine-induced chest pain, but the possibility of reflex tachycardia must be considered. Alpha- ... Many clinicians have disregarded this dogma and administer beta-blockers for cocaine-related chest pain and acute coronary ... "Beta-blockers for chest pain associated with recent cocaine use". Archives of Internal Medicine. 170 (10): 874-879. doi:10.1001 ...

*Presenting problem

"Differentiating Chest Pain". Emergency Medicine. Archived from the original on 2011-07-30. Graff, Louis G.; Robinson, Dave ( ... In acute care settings, such as emergency rooms, reports of chest pain are among the most common chief complaints. The most ... 2001). "Abdominal Pain and Emergency Department Evaluation". Emergency Medicine Clinics of North America. 19 (1): 123-36. doi: ... common complaint in ERs has been reported to be abdominal pain. Among nursing home residents seeking treatment at ERs, ...

*Overlook Medical Center

Chest Pain Center. same-day surgery Center. Hernia Center. Wound Care Center. Medicare-certified home care and hospice program ... TARA PARKER-POPE (January 8, 2008). "Pain Relief for Some, With an Odd Tradeoff". New York Times. Retrieved 2009-10-19. Sharon ... Overlook has doctors who specialize in pain management. Overlook doctors have been quoted in news reports. Some Overlook speech ...

*Tranylcypromine

Chest pain. *Diarrhea. *Edema. *Hallucinations. *Hyperreflexia. *Insomnia. *Jaundice. *Leg cramps. *Myalgia. *Palpitations ...

*Decompression illness

Allow the patient to drink water or isotonic fluids only if responsive, stable, and not suffering from nausea or stomach pain. ...

*Cardiomegaly

"Chest Measurements". Oregon Health & Science University. Retrieved 2017-01-13.. *^ "cardiothoracic ratio". thefreedictionary. ... These diameters are taken from PA chest x-rays using the widest point of the chest and measuring as far as the lung pleura, not ... 1. Chest X-Ray: X-ray images help see the condition of the lungs and heart. If the heart is enlarged on an X-ray, other tests ... A newer approach to using these x-rays for evaluating heart health takes the ratio of heart area to chest area and has been ...

*Anorexia nervosa

Individuals with anorexia nervosa may experience chest pain or palpitations; these can be a result of mitral valve prolapse. ... abdominal pain, bloating, distension, vomiting, diarrhea or constipation), weight loss, or growth failure; and also routinely ... abdominal pain, anorexia, constipation, bloating, and distension due to malabsorption. Extraintestinal presentations include ...

*Cigarette - Simple English Wikipedia, the free encyclopedia

Smokers have symptoms such as frequent coughing, chest pain, and breathlessness. Doctors say that people should not smoke, as ...

*Saint Thomas - Midtown Hospital (Nashville)

The Chest Pain Network includes 15 hospitals in Tennessee and Kentucky, all accredited by the Society of Chest Pain Centers. ... The Saint Thomas Chest Pain Network is a division of Saint Thomas Health that coordinates with local emergency medical services ... "Saint Thomas Chest Pain Network Expands to Include More Community Hospitals". Nashville Medical News. "Freezing Procedure at ... Saint Thomas among top 100 heart hospitals Society of Chest Pain Centers list of accredited facilities HealthGrades Hospital ...
Effects of omeprazole versus placebo in treatment of noncardiac chest pain and gastroesophageal reflux. - S R Achem, B E Kolts, T MacMath, J Richter, D Mohr, L Burton, D O Castell
Care guide for Noncardiac Chest Pain. Includes: possible causes, signs and symptoms, standard treatment options and means of care and support.
List of 20 causes of Acute chest pain (Acute chest pain symptoms), patient stories, diagnosis questions, and associated symptoms.
We painted the perfect picture for you in your cardiac emergencies lecture in your EMT class. The pain felt like a pressure. It was brought on by exertion. It radiated to the left arm and through to the back. Sometimes, in your EMT skills stations, we would get fancy and have it begin at rest and radiate to the jaw. Just trying to keep you on your toes after all.. All this stuff is good to know. But we may have done you a disservice. You may be walking around with the idea that you can do a quick OPQRST and a SAMPLE and walk away with a fairly good feel for whether or not your patient is having a heart attack. You may be dead wrong.. What we may not have told you was that a large percentage of your patients suffering acute myocardial infarction wont look anything like this. Atypical cardiac chest pain, those folks who have heart attacks but dont quite feel like theyre supposed to feel, are actually very common. Common enough that we may need to think of a new name for them. Research says that ...
Another name for Cardiac Chest Pain is Angina. Prevention is the key to managing the risk for angina. Other conditions such as diabetes, high blood pressure ...
Professor Nadeem Qamar Executive Director, NICVD and Secretary to Governing Body formally inaugurated the 6th Chest Pain Unit - CPU on Wednesday, January 03, 2018 at Railway road, opposite to Miskeen Gali near I.I. Chundrigar Road.. National Institute of Cardiovascular Diseases - NICVD introduced a new era of heart healthcare with the inauguration of its first CPU under Gulshan-e-Iqbal Chowrangi Flyover, Second under Gulbai Flyover, third under Malir Halt Flyover, fourth under Qayyumabad Chowrangi, 5th under Nagan Chowrangi flyover have been serving people successfully and treating thousands of patients monthly. This service is one of its kind and is available for 24/7 throughout the year.. These Chest Pain Units are well-equipped facilities and have the appropriate diagnostic testing available to identify patients with an acute heart attack and is also equipped to resuscitate patients who become unstable. CPUs are functionally design for providing preliminary emergency care to heart attack ...
National Institute of Cardiovascular Diseases (NICVD) in its efforts to provide first tier of heart care facilities to the patients at their doorsteps has opened its 5th Chest Pain Unit, at Nagan Chowrangi here. Executive Director, NICVD, Professor Nadeem Qamar talking to APP Thursday said with the support of Sindh government and Karachi Metropolitan Corporation, a chain of Chest Pain Units (CPUs) are planned for the ever expanding metropolis.. Sharing details of the initiative, he said each of these CPUs are well-equipped with appropriate diagnostic facilities along with efficient arrangements to resuscitate patients who may arrive in unstable condition.. "CPUs are functionally designed to provide preliminary emergency care to heart attack patients and after providing initial treatment, the patients are shifted immediately to the tertiary care setup at NICVD Cath Lab," the NICVD chief elaborated.. On basis of the available record, he said a significant number of complainants were those with ...
Chest pain is a common reason for hospital admission. In most patients with chest pain, acute coronary artery disease (CAD) is the major concern. Nitrates often are used in emergency treatment of acute chest pain, but relief with nitrates is an uncertain diagnostic and prognostic sign. Because nitro-glycerin can relieve symptoms of noncardiac chest pain, including esophageal spasm, its value as a tool in the diagnosis of ischemic heart disease is questionable. Henrikson and associates conducted a prospective study to determine the usefulness of chest pain response to nitroglycerin as an indicator of ischemic coronary disease.. Patients who had documented chest pain while under medical supervision were given nitroglycerin. A chest pain response to the first dose of nitroglycerin was defined as a 50 percent or greater decrease in pain intensity within five minutes of nitroglycerin administration. The presence of active CAD was determined for all participants. Active CAD was defined as elevated ...
The salient findings of this study are the following: (1) Many patients with angina in the absence of obstructive CAD have occult coronary abnormalities; (2) on the other hand, a significant minority have no coronary reason to explain their symptoms; and (3) a comprehensive invasive functional, physiological, and anatomic coronary assessment allows safe stratification of patients without angiographic disease into specific potential causes for their chest pain.. Angina and myocardial ischemia are typically caused by flow-limiting lesions in the epicardial coronary arteries. When coronary angiography fails to reveal obstructive epicardial atherosclerosis, a diagnosis of noncardiac chest pain is often given. Alternatively, in some cases, microvascular dysfunction is the presumptive diagnosis, and antianginal therapy is instituted or escalated. In the former scenario, effective therapy and a potentially improved outcome may be withheld from a patient, whereas in the latter case, overtreatment ...
The current investigation will address some similar factors considered in prior research, but will considerably extend our understanding of how psychological, familial, and environmental factors influence noncardiac chest pain. In this investigation, a number of variables that have not been considered in prior research in this area will be included. Among these child variables are: the childrens pain coping strategies, the childrens somatization behaviors aside from chest pain, the childrens externalizing symptoms (e.g., symptoms of ADHD, oppositional defiant disorder), school related problems, social competencies, parental perceptions of the childs vulnerability, functional disability (the degree to which chest pain interferes with normal daily functioning), and the childs health care utilization. Also, a more sensitive quantification of the childrens frequency and intensity of chest pain will be collected, as well as information on situations in which the pain occurs. Parent report of ...
Question - Severe chest pains, headache and throat irritation. Is the chest pain due to anxiety or sinus infection?. Ask a Doctor about diagnosis, treatment and medication for Severe chest pain, Ask an Internal Medicine Specialist
Many individuals incorrectly assume that because a patients chest pain is relieved with nitroglycerine, the pain is more likely to be cardiac in nature. In examining this question, Henrikson and colleagues [39] found a higher incidence of relief of chest pain in patients without ACS than those with active ischemia. Steele and colleagues [40] also found that nitroglycerine relieved chest pain in 66% of patients who were ultimately diagnosed with noncardiac chest pain. This data shows that chest-pain relief by nitroglycerine had no value in predicting or disproving ACS. Similarly, physicians have used the GI cocktail (a mixture of antacids and viscous lidocaine) to prove the likelihood of a GI cause and disprove the presence of ACS. There is no recent literature supporting the use of the GI cocktail for differentiating these types of pain, but the practice persists. Many physicians believe that burning substernal pain relieved by antacids is clearly caused by esophagitis or gastritis. Subsequent ...
Common abdominal syndromes. Gastroesophageal reflux disease - GERD. History: heartburn, chest pain, regurgitation, acidic taste in mouth, dysphagia, odynophagia, extraesophageal: cough, asthma, noncardiac chest pain Characteristics: increase in laying position Slideshow 6349597 by gil-levine
Non-cardiac chest pain (NCCP) is a common disorder whose pathophysiology is poorly understood. Some evidence suggests it may be related to sustained esophageal contractions (SECs) of longitudinal smooth muscle. The investigators have previously shown that acid is a trigger for SECs and results in shortening of the esophagus. In this study, the investigators plan to prospectively evaluate esophageal shortening responses to acid in a group of patients with NCCP compared to controls. The investigators will use high resolution esophageal manometry coupled with acid infusion to evaluate shortening. The investigators hypothesize that at least a subset of patients with NCCP will have an exaggerated esophageal shortening response to acid which correlates with symptom production. If our hypothesis proves true, this may lead to a future therapeutic target in the treatment of these patients ...
TY - JOUR. T1 - Noninvasive strategies for the estimation of cardiac risk in stable chest pain patients. AU - Shaw, Leslee J.. AU - Hachamovitch, Rory. AU - Heller, Gary V.. AU - Marwick, Thomas H.. AU - Travin, Mark I.. AU - Iskandrian, Ami E.. AU - Kesler, Karen. AU - Lauer, Michael S.. AU - Hendel, Robert. AU - Borges-Neto, Salvador. AU - Lewin, Howard C.. AU - Berman, Daniel S.. AU - Miller, Donald D. PY - 2000/7/1. Y1 - 2000/7/1. N2 - Effective allocation of medical resources in stable chest pain patients requires the accurate diagnosis of coronary artery disease and the stratification of future cardiac risk. We studied the relative predictive value for cardiac death of 3 commonly applied noninvasive strategies, clinical assessment, stress electrocardiography, and myocardial perfusion tomography, in a large, multicenter population of stable angina patients. The multicenter observational series comprised 7 community and academic medical centers and 8,411 stable chest pain patients. All ...
CPAP Chest pain - MedHelps CPAP Chest pain Center for Information, Symptoms, Resources, Treatments and Tools for CPAP Chest pain. Find CPAP Chest pain information, treatments for CPAP Chest pain and CPAP Chest pain symptoms.
Trans-thoracic colour Doppler echocardiography revealed continuous turbulence at the apex of the right ventricle, without right ventricular dilation or pulmonary hypertension.. Coronary angiography showed a severely dilated and tortuous LAD and magnetic resonance imaging confirmed the suspicion of a congenital fistula between the left anterior descending coronary artery and the right ventricle.. At surgery the presence of a severely dilated and tortuous LAD was confirmed, without evidence of dissection.. Chest pain in patients with a coronary fistula can be caused by coronary "steal", coronary dissection, or myocardial infarction.. Pre-operative stress MIBI-technetium imaging in this patient did not reveal any perfusion defects.. ...
Chest pain on left side is often taken as a sign of heart attack. Angina is another crucial type of chest pain that is caused by excessive physical exertion or stress. It is particularly considered as a warning sign when it occurs during rest. Nonetheless, pain in left side of chest could also indicate minor issues like acidity and heartburn.. Heart Attack: Let us first discuss left sided chest pain as a sign of heart attack. It usually arises in the mid to left side of the chest and may extend to the left shoulder, the left arm, the jaw, the stomach, or the back.. The condition is often accompanied by other symptoms like breathlessness, nausea, vomiting, dizziness, fatigue, abdominal discomfort, excessive sweating etc. Cardiac pain generally involves the center of the chest or upper abdomen.. Angina: Angina is another serious form of left side chest pain that is considered as a primary symptom of Coronary Artery Disease. It is typically described as a choking pain or a feeling of constriction, ...
Chest pain on left side is often taken as a sign of heart attack. Angina is another crucial type of chest pain that is caused by excessive physical exertion or stress. It is particularly considered as a warning sign when it occurs during rest. Nonetheless, pain in left side of chest could also indicate minor issues like acidity and heartburn.. Heart Attack: Let us first discuss left sided chest pain as a sign of heart attack. It usually arises in the mid to left side of the chest and may extend to the left shoulder, the left arm, the jaw, the stomach, or the back.. The condition is often accompanied by other symptoms like breathlessness, nausea, vomiting, dizziness, fatigue, abdominal discomfort, excessive sweating etc. Cardiac pain generally involves the center of the chest or upper abdomen.. Angina: Angina is another serious form of left side chest pain that is considered as a primary symptom of Coronary Artery Disease. It is typically described as a choking pain or a feeling of constriction, ...
Acute coronary syndromes, heart failure, arrhythmias, hypertension, metabolic syndrome atypical chest pains, health economics, clinical trials, medical statistics, cardiology guidelines, cardiovascular epidemiology, valve disease, research, device therapy, audits, national policy, atypical chest pain, cardiac risk reduction, prevention ...
The sooner you can get to hospital, the better your chances of recovery. Emergency services will send an ambulance or arrange other transport for you - dont attempt to drive yourself.. What are some other causes of chest pain?. It is important to keep in mind that chest pain is a symptom of an underlying problem, ranging from insignificant to very serious. When you experience chest pain, even if you have none of the other symptoms mentioned above, you should still contact your doctor - especially if you also have a fever or cough, or the pain lasts for more than 24 hours. Some other causes of chest pain are:. ...
Doctor: Hello.Welcome to Ask The Doctor.I understand your concern.I have following diagnosis for you:1. Muscular Pain wi th.2. Cardiac Chest pain.3. Acid reflux.It is important to differentiate between the all as the treatment course is entirely different.The Muscular chest pain aggravates with movement. It is dull, diffuse and continuous in nature.However, the Cardiac chest pain is severe and crushing in nature. It increases on activity like walking, exercising. It also radiated to left arm.In such scenario, i would advise to get an ECG and Chest Xray done. This will give an idea that pain is cardiac in nature or not.If the ECG and Chest Xray are normal, the pain is probably Muscular or due to Acid reflux.For acid reflux, i would advise you to take a combination of Pantoprazole and Domperidone once a day.I advise following to my patients in case of Muscular pain:1. To do hot fomentation over the involved area 3-4 times a day.2. To apply Diclofenac Gel locally over the involved area.3. To take ...
YOUNG adults presenting to general practice with unexplained chest pain (UCP) return earlier and more frequently than patients with diagnosed coronary artery disease (CAD), US researchers say.In a retrospective study, nearly 750,000 US veterans, median age 34, were followed from 2001 to 2010. The 20,521 with UCP had recurrent chest pain earlier and 1.5 times more frequently than the 5303 with known CAD.The authors hypothesised that patients with UCP felt their chest pain was less controllable and less understandable than those with CAD. Patients present to GPs earlier and more frequently than those with diagnosed coronary artery disease.
The freeMD virtual doctor has found 2 conditions that can cause Squeezing Chest Discomfort and Tenderness in the Left Lower Stomach. There is 1 uncommon condition that can cause Squeezing Chest Discomfort and Tenderness in the Left Lower Stomach. There is 1 rare condition that can cause Squeezing Chest Discomfort and Tenderness in the Left Lower Stomach.
List of disease causes of Pulmonary causes of acute chest pain, patient stories, diagnostic guides. Diagnostic checklist, medical tests, doctor questions, and related signs or symptoms for Pulmonary causes of acute chest pain.
Question - Severe chest pain, sweating and vomiting. Underwent endoscopy. Have history of arthritis. Costocondritis? . Ask a Doctor about diagnosis, treatment and medication for Heartburn, Ask a Pulmonologist
I have severe chest pain that started a couple of days ago. On day number one I went to a doctor and he had an EKG done on me. He came back and said has anybody told you you may have an enlarged lef...
OBJECTIVE: To determine the rate of major adverse cardiac events (MACE) in patients assessed in an emergency department (ED) for chest pain with a non-ischaemic ECG, Thrombolysis in Myocardial Infarction (TIMI) score of 0 and initial troponin I (TnI) ≤99th centile.. METHODS: This was a sub-study of a prospective observational study of adult patients with potentially cardiac chest pain who underwent evaluation for acute coronary syndrome in an urban teaching hospital. Adult patients with non-traumatic chest pain were eligible for inclusion. Those with ECG evidence of acute ischaemia or an alternative diagnosis were excluded. Data collected included demographic, clinical, ECG, biomarker and outcome data. Low risk was defined as a TIMI risk score of 0 and initial TnI ≤99th centile. Primary outcome of interest was defined as MACE within 7 days. MACE included death, cardiac arrest, revascularisation, cardiogenic shock, arrhythmia, and prevalent (cause of presentation) and incident (occurring ...
... is usually associated with heart disease. Many times, however, chest pains are due to gastrointestinal dysfunction. Patients naturally need to be assured that their heart is not the cause of chest pains, but once that testing is negative, attention is often given to GI problems. It turns out that ulcers of the esophagus or stomach, esophagitis, gastritis, and esophageal infections can all cause chest pains. Esophageal spasm, which may be due to severe stress, may also cause chest pains that are similar to cardiac chest pains.. Heart related chest pain usually occurs after some exertion or exercise (heavy lifting, straining, walking stairs, running, etc.). There may be a sharp or pressure pain. With radiation to the left arm, sweats, shortness of breath and even nausea. It usually improves after resting and can resolve in 5-10 minutes.. Gastrointestinal chest pain usually occurs without exertion, can occur at night or at rest. It is usually of longer duration. It may radiate to the ...
28 yrs old Male asked about Chest pain on deep breath, 2 doctors answered this and 106 people found it useful. Get your query answered 24*7 only on | Practo Consult
Feeling CHEST DISCOMFORT while using Neurontin? CHEST DISCOMFORT Causes, Patient Concerns and Latest Treatments and Neurontin Reports and Side Effects.
Importance: The incremental benefit of noninvasive testing in addition to clinical evaluation (history, physical examination, an electrocardiogram [ECG], and biomarker assessment) vs clinical evaluation alone for patients who present to the emergency department (ED) with acute chest pain is unknown.. Objective: To examine differences in outcomes with clinical evaluation and noninvasive testing (coronary computed tomographic angiography [CCTA] or stress testing) vs clinical evaluation alone.. Design, Setting, and Participants: This study was a retrospective analysis of data from the randomized multicenter Rule Out Myocardial Ischemia/Infarction by Computer Assisted Tomography (ROMICAT-II) trial. Data for 1000 patients who presented with chest pain to the EDs at 9 hospitals in the United States were evaluated.. Interventions: Clinical evaluation plus noninvasive testing (CCTA or stress test) vs clinical evaluation alone.. Main Outcomes and Measures: Primary outcome was length of stay (LOS). ...
With ,8 million emergency department (ED) visits annually in the United States and a reported 2% of patients discharged from the ED with a missed acute coronary syndrome, the optimal management of acute chest pain in the ED is a dilemma faced by many clinicians (1). Risk stratification on the basis of the initial history, physical examination, electrocardiogram, and troponin measurement is essential early in the triage process. For patients with low to intermediate risk for short-term death and myocardial infarction (MI), the evaluation is focused on identifying those who can be safely discharged from the ED after an observation period, with or without a noninvasive study to evaluate for ischemia (stress test) or coronary artery obstruction (coronary computed tomography angiography [CCTA]). With the advent of high-sensitivity troponins (hsTn), the ability to rule out MI in the ED has improved (2). Previous protocols utilized creatine kinase myocardial band or regular troponin. Therefore, ...
Gas pain in chest are remarkable symptoms in chest due to gas, resulting chest pain. These gases bring chest discomfort gas pains. 100 remedies gas symptoms
The purpose of this study was to relate the 1-year risk of death and development of acute myocardial infarction among diabetics with acute chest pain to whether they had a history of hypertension or not. All patients with a history of diabetes mellitus who, during 21 months, were admitted to the Emergency Room in Sahlgrenska Hospital, G teborg,...
The purpose of this case repots are to evaluate the role of ST elevation in aVR lead and to make analysis between both cases. There are some atypical electrocardiogram (ECG) presentations which need prompt management in patient with ischemic clinical manifestation such as ST elevation in aVR lead. In this case study, we report a 68-year old woman with chief symptoms of shortness of breath and chest discomfort. She was diagnosed with cardiogenic shock, with Killip class IV, and TIMI score of 8. The second case is a 57-year-old man with typical chest pain at rest which could not be relieved with nitrate treatment ...
A study conducted by researchers from the University of California, San Diego School of Medicine along with colleagues from Rural/Metro Ambulance San Diego and the San Diego Fire-Rescue Department, shows that emergency medical personnel can obtain an electrocardiogram (ECG) in the field for chest pain patients without an increase in scene time or transport time to the hospital. Furthermore, in patients with an ST-elevation myocardial infarction (STEMI) diagnosed on the electrocardiogram- in the field prior to transporting to the hospital - care is actually expedited and the patients are more rapidly transported to the hospital. The study appears in the July 25 online version of the Journal of American College of Cardiology.. "Prior to this study, questions remained as to whether the time required in the field to perform an ECG would lead to a delay in transporting patients to the hospital. For patients suffering from the most severe form of heart attack (STEMI), where a significant amount of ...
Chest pains originally come from the lungs, or heart, or may be in the esophagus. It can also originate from the other parts the organs adjacent from the chest like the bones or baume mercier replica watches muscles. The root franck muller casablanca replica watches may lie in the stomach or in the gallbladder, which are the closest to the chest. People which often complain of left-sided chest pains may have acidity, heartburn, gas, angina pectoris, or a heart attack ...
Our study demonstrates that the 12-lead ECG is a very valuable tool for diagnosing regional myocardial perfusion patterns suggestive of a prior MI, especially in the present era of thrombolytic and revascularization therapy, in which the incidence of Q-wave MI has declined and the incidence of non-Q-wave or non-ST-segment-elevation MI has increased reciprocally.5 The fQRS is associated with significantly greater perfusion and function abnormalities than is the Q wave. In fact, the fQRS may be the only evidence of a prior silent MI, which has a significantly high incidence in women with atypical chest pain, diabetes mellitus, and dementia and in the elderly. Our results shows that in the current era of aggressive risk factor modification and therapy for CAD, the sensitivity of the Q wave for diagnosing a remote MI is very low (36.3%), whereas the fQRS has a substantially higher sensitivity (84.6%), and there is further increment in sensitivity (91.4%) for the Q wave and/or fQRS. However, there is ...
Im 31 and for the first time i woke up this morning to irregular heat beat and chest pains and follwed by sweats.plus i couldnt go back to sleep any advice.. Reply Follow This Thread Stop Following This Thread Flag this Discussion ...
Chest pain has many possible causes - and some of them are serious. Heres why its so important to see your doctor about chest pain.
Did you end up finding the cause ? Chest pain is not something to ignore so I hope you seen a Doctor asap :)Samanthahttp://www.undiagnosedillness.orgso I went to the doctors office and they told me my lungs looked ok. no major infection and fluid buildup. after a couple of days the lightheadedness went away and i wasnt feeling all that bad. my chest discomfort was probably a slight irritation in my lungs. im feeling well now so thanks for caring ...
Tragically, Americans with trouble breathing or vague feelings in their chest frequently wait too long before calling 911 and getting the paramedics. This is referred to as denial. No one wants to have a heart attack. It is our human nature to want to believe that trouble breathing or chest discomfort is from indigestion, sore muscles, or almost anything other than our heart. It is just too scary to accept. Frequently people will wait anywhere from two hours to days before getting help. Many of
List of causes of Rapid heart beat and Severe gerd-like chest pain, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more.
Exertional angina (chest pain) is the most common manifestation of myocardial ischemia in young and middle-age persons. Because of their more sedentary lifestyle or possibly a difference in pathophysiology, this may not be true in elderly patients. Instead of exertional chest pain, ischemia may be more commonly manifested as dyspnea in elderly patients. Other elderly patients with CAD may be completely asymptomatic, although silent ischemia may be demonstrated by stress testing or Holter monitoring ...
Acid reflux is an issue that affects many people throughout the United States. In fact, around 60% of the adult population in the US will experience some form
HEART might offer a way to discharge low-risk chest pain patients early and reduce objective cardiac testing, according to findings published March 3. While early discharge with no increase in major adverse events would be a coup, some are not convinced that reducing cardiac testing rates overall is feasible.
GREAT points you raise on this case Steve! - including the need to put all pieces in the equation together in forming your clinical conclusion. That is, the initial ECG was not at all diagnostic - but, in context of the history of severe chest pain the entire previous night - with ongoing chest pain at the time of this tracing - with positivity (albeit slight) in the initial troponin value - the onus is on us to determine what is "old" vs "subacute" with indication for prompt cath (that in retrospect should have been done before the 2nd troponin came back). And although subtle - the 2nd ECG you show IS diagnostic (!) - because we see reversal of inferior and reciprocal changes in aVL. I would add Learning Points #7 ( = put all pieces together when forming your clinical impression) - and #8 (acute inferior MI sometimes manifest the most SUBTLE of changes - so be aware of this, and dont necessarily expect obvious ECG abnormalities). The subtle ECG changes in the 1st ECG should raise your ...
Ive been told that its anxiety, or gas. I disagree strongly with both. I know that I have anxiety. When I am feeling anxious, not only am I able to identify the feeling myself, but I am able to explain to other people how the anxiety manifests itself (how Im feeling at that particular moment), why I feel that way, and also what I can do that will calm me down. I know what an anxiety/panic attack feels like, and this pain is totally unlike anything anxiety/panic-related that Ive ever personally experienced. I am also completely calm before, during, and after the pain. Ive actually never experienced this chest pain while Ive been aware of feeling anxious. I also know what my symptoms are when I am gassy. If these pains were caused by gas, wouldnt I eventually have to fart? When I have these pains, I am not bloated, my tummys not making funny noises, the pain doesnt spread/change location, and I dont have to fart ...
It was a tight pain, around my chest, just like when I had my heart attack 40 years ago." He went on to give a textbook history of cardiac chest pain, which had kept him awake all night two nights previously. When I asked him why he had not sought help sooner, he told me that he had been looking after his sons pets while he was away for an important job … ...
Magnetic resonance imaging (MRI) scans are the safest and most effective way to identify high risk patients with cardiac chest pain, according to evidence from a study at the University of Leeds.
Learn EMT - Cardiac Emergencies facts using a simple interactive process (flashcard, matching, or multiple choice). Finally a format that helps you memorize and understand. Browse or search in thousands of pages or create your own page using a simple wizard. No signup required!
MSF launched a program targeted at treating cardiac emergencies in Grozny, Chechnya, in late 2010. Within just a few months, the program treated nearly 700 patients.
... is a health condition that can be caused by cardiac and non-cardiac illnesses. To know when it is appropriate to seek medical help, it is important to know the various chest pain symptoms and causes of chest pain. To identify the seriousness of the condition, medical experts perform different chest pain diagnosis tests such as endoscopy and electrocardiogram.
Heparins for Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction [Cochrane for Clinicians] Compared with standard therapy with aspirin, the use of heparin does not reduce mortality, the need for revascularization, and recurrent angina. Heparin does reduce the occurrence of myocardial infarction (MI; number needed to treat [NNT] = 33), defined as "typical chest pain associated with the app.... ...
A 58-year-old female smoker with dyslipidemia presented to the emergency room with a 1-hour history of typical chest pain and hypotension (systolic blood pressure, 80 mmHg). An electrocardiogram (ECG) was recorded (Figure 1). This showed simultaneous ST elevation in the inferior leads and in leads V1-V3. An ECG in the right leads was also recorded (Figure 2). This showed an ST elevation pattern in III , II, along with diffuse ST depression in AVL , I, with ST elevation greater than 1 mm in leads V3 and V4.. ...
1 Answer (question resolved) - Posted in: pain, gerd, medication, chest pain, diagnosis, chest - Answer: Hi deadoralive, Let me warn you about ...
Two developments coincided over the last ten years that started to change the landscape of the approach to chest pain patients. The first development was the push by payers to reduce cost - for chest pain patients that meant avoiding admissions to the hospital. Payers started to refuse payments for those patients deemed too low risk for admission to the hospital. Spooked by this, observation units, and protocols to increase patient throughput through these units flourished. It was within this Wild West-like atmosphere that John Wayne, in the form of the coronary computed tomography angiography (CCTA), arrived. CCTA allowed high resolution images of the coronary tree within minutes, and promised an easy straight talkin yes/no answer with regards to coronary plaque. A negative test effectively ruled out a coronary event, and as a side benefit, also could provide information about clots in the lung and abnormalities of the aorta. One test that took minutes could obviate the need for a hospital ...
Chest pain is pretty high up on the list of symptoms you absolutely shouldnt ignore, but that doesnt mean all chest pain is fatal or indicative of a heart attack. Currently, almost 70% of emergency department visits from patients with insurance coverage are for non-emergency conditions. So unless you know how to tell the difference between cardiac-related pain and other chest pain, you could be paying ER fees for no good reason. Heres a quick guide to help you understand what to do about chest pain and how it will feel in an emergency situation. How will cardiac pain feel? ...
Results CTP demonstrated a sensitivity of 92% and 89%, specificity of 95% and 99%, positive predictive value (PPV) of 80% and 82% and negative predictive value (NPV) of 98% and 99% for each patient and for each segment, respectively. CTA showed an accuracy of 92%, sensitivity of 70.4%, specificity of 95.5%, PPV 67.8%, and NPV of 95% compared with SPECT-MPI. When CTP findings were added to CTA the PPV improved from 67% to 90.1%. ...
Right side chest pain is often linked to heart attack, but there are several other causes of chest pain on the right side. Here is how to treat the pain in right side of the chest.
Approximately half of all patients presenting with nonspecific chest pain are not provided symptom relief by way of standard medical care and every tenth patient with persistent chest pain shows signs of overinvestigation by physicians, while psychological investigations are rarely given, said a study published in the Feb. 8 issue of Archives of Internal Medicine.
Patients with chest pain who underwent SPECT myocardial perfusion imaging (MPI) with an ultralow-radiation-dose gamma camera had no major cardiac events a year later. The research, published in the April issue of the Journal of Nuclear Medicine, indicates that MPI radiation dose can be slashed without adverse clinical impact.
Last month a man in his 60s told me he had a vague R sided chest pain while cycling. He thought it was just because he was in the cold wind. He only came because his wife made him come to see me. The short story is that he ended up having a critical narrowing in his main coronary artery and had an emergency stent put in his coronary the same day. If he had not seen me, he could have dropped dead on his bike the next day of a heart attack.. Most people dont want to bother doctors with vague chest symptoms thinking that for it to be a cardiac pain, it has to be really significant and severe - wrong!. The heart attack that you or a loved one is most likely to die of is the first one! This means that there can be no warning and the person can just drop dead.. In addition, cardiac symptoms can come in all sorts of vague forms. The chest pain is classically central, pressing and tight and can move up to the neck and down an arm. But sometimes it can feel like indigestion, or be very vague just like ...
I started having severe chest pains 2 months ago. Been to the hospital 20 plus times in the past 8 weeks. They keep saying everything is normal. Im 34 and theu say my heart is fine everytime and i...
Legendary actor Leonard Nimoy was reportedly rushed to the hospital for severe chest pains following a 911 call from his home last week. According to TMZ…
Former President Bill Clinton was hospitalized today at NYs Columbia Presbyterian Hospital after experiencing severe chest pain which may or may not have been a full heart attack. |a href=http://hos...
RATIONALE: Diagnostic procedures, such as an urgent chest x-ray, may help in planning cancer treatment. It is not yet known whether standard medical car
TORONTO - Its hard to believe that a single small study could cause such a hullabaloo, but thats been the case with a research paper that looked at the effectiveness of using stents to open up clogged coronary
As we diabetics know, diabetes over the long term causes damage to other areas and makes us more likely to suffer heart disease along with other problems. Did you know that many people, especially women, who have heart attacks do not have any or severe chest pain? In addition to chest pain, other signs of heart attack can include chest pressure, shortness of breath, nausea, indigestion, excessive sweating, fainting, dizziness, heart palpitations, and left arm pain. If you think you or a loved one may be suffering a heart attack, call 911 and chew an aspirin-full dose 325 mg. The sooner heart attacks are treated, the better. When blood flow is cut off to any part of the heart during an attack, that heart muscle may become damaged or die. ...
Chest congestion is the excess fluid and mucus that accumulates in the lungs. An individual who is suffering may feel very uneasy although breathing as well as may also countertop bouts of attacks where breathing becomes very difficult, associated with an ebbing chest discomfort, cough, and wheezing. Extreme congestion in the chest is clear in the form of wheezing, and is also characterized by crackling sounds evicted if the affected person coughs. There are certain causes that lead to be able to this condition. Chest congestion because of allergies is actually the most common. Some other possible causes may be the administration of post-nasal drip, sinusitis, bronchitis, and pneumonia ...
I am a 38 year old man, smoker (about 3 a day), average drinker, no drugs. Try and excercise and eat well but have the odd bit of fast food. I have a family history of diabetes and heart disease and on checking my cholestorol was found to be 6.2. Because of this and headaches I was getting I was put on statins and irbesartan. My current cholestorol reading is 4.8 and average blood pressure so the medication is working fine. I currently dont have chest pains ! My question is.. if I dont want to wait until I develop severe chest pains to have an angiogram to show how bad my arteries are, can I ask my GP or even AXA PPP to have one? I know they are expensive but Id really rather know sooner than later ...
Ischemic heart disease (IHD) is the leading cause of death and disability worldwide and affects 17,600,000 Americans, resulting in about 450,000 deaths in the United States annually. Globally, 7.2 million deaths are caused by IHD each year.. Medical therapy (medication and lifestyle changes) should always be used to treat IHD. Many doctors routinely use an invasive approach in addition to medical therapy to treat IHD. The trial showed that heart procedures added to taking medicines and making lifestyle changes did not reduce the overall rate of heart attack or death compared with medicines and lifestyle changes alone. However, for people with chest pain symptoms, heart procedures improved symptoms better than medicines and lifestyle changes alone. The more chest pain to begin with, the more symptoms improved after getting a stent or bypass surgery. ...
The symptoms of heart attack should be treated as a medical emergency and ambulance and critical care services should be alerted immediately. However, conditions such as indigestion can also cause severe chest pain. Once a patient is admitted to hospital, tests need to be performed immediately to check whether the chest pain is indeed being caused by a heart attack.
We are pleased that the Society of Chest Pain Centers has recognized High Point Regionals commitment to providing patients with timely, expert evaluation of chest pain symptoms," said Dr. Steven Rohrbeck, cardiologist, Carolina Cardiology Associates. “This accreditation is another indicator to the community of the high quality heart care patients can expect to receive at our hospital ...
Trapped gas in chest can often be mistaken for an impending heart attack or abdominal pain. Here are the symptoms, causes and treatment for the condition.
23 yo female p/w one week h/o dyspnea with exertion and increasing lower extremity edema. Pt c/o intermittent episodes of atypical chest tightness and pressure that does not occur necessarily during rest or with exertion. Non-radiating. Does not occur with palpation, shortness of breath, nausea/vomtting or diaphoresis. Dyspnea not present at rest. Pt denies PND, fevers, cough or syncopal episodes. No recent long plane flights or car rides. Denies tobacco, alcohol or drugs. No recent changes in medication. Symptoms have been getting progressively worse over past one week. Pt now unable to climb stairs in apartment without resting mulitple times. Leg swelling is equal bilateral. No redness, warmth or pain. LMP one week ago. Her PE is significant for the following She is in NAD with normal vitals, well appearing, resting comfortably with mild b/l basilar crackles, no wheeze; has an audible murmer III/VI ASB and has b/l +1 pitting edema up to mid calf, no redness, warmth, negative homans sign. ...
23 yo female p/w one week h/o dyspnea with exertion and increasing lower extremity edema. Pt c/o intermittent episodes of atypical chest tightness and pressure that does not occur necessarily during rest or with exertion. Non-radiating. Does not occur with palpation, shortness of breath, nausea/vomtting or diaphoresis. Dyspnea not present at rest. Pt denies PND, fevers, cough or syncopal episodes. No recent long plane flights or car rides. Denies tobacco, alcohol or drugs. No recent changes in medication. Symptoms have been getting progressively worse over past one week. Pt now unable to climb stairs in apartment without resting mulitple times. Leg swelling is equal bilateral. No redness, warmth or pain. LMP one week ago. Her PE is significant for the following She is in NAD with normal vitals, well appearing, resting comfortably with mild b/l basilar crackles, no wheeze; has an audible murmer III/VI ASB and has b/l +1 pitting edema up to mid calf, no redness, warmth, negative homans sign. ...
Sam Sabolovich has not been to work in eight years, and daily chest pains are a constant reminder of his doctors advice: Just stay home and watch TV.
But even Dr. OConnor admitted that its not nearly as effective as bendamustine and quite frankly, I can see, feel and touch my tumors and theyre growing. Theyve taken over my right side. Everything is worse. My itching is bad. My chest pains are back. New tumors are popping up and really I can do very little except scratch my head. Yes, thats an itch. I go from respiratory infection to the next without a break. Last week, my wife said, "I was worried for a while there. And you me. I dont worry about a lot of things." This morning I noticed that I cant live without almost thirty pills. My life now depends on a lot of pills. And even with them, Im in pain and in danger of dying ...
The following ECG is from a 35 yr old male who presented with 1 hour of central severe chest pain. He has a past medical history of Type 2 Diabetes and a positive family history. He had recently been unwell with a febrile illness. ...
The authors note that as and when ART becomes universally available to drug users with HIV, and their health status improves, so their other health problems will take on increased prominence, such as non-AIDS related comorbitities and TB, all of which will come with their own treatment priorities. HIV infected drug users with TB co-infection creates various clinical challenges since TB can be difficult to diagnose in HIV patients due to atypical chest radiographs, high-rates of TB in parts of the body outside the usual setting of the lungs, and the reduced sensitivity of skin tests used to diagnose TB in HIV patients. While people with latent TB but not HIV infection have a roughly 1 in 11 lifetime risk of having their TB develop into full blown disease, it becomes a 1 in 11 annual risk in patients with HIV co-infection. Concentration of people with HIV and substance use disorders behind bars facilitates transmission of TB, including multidrug resistant strains, due to overcrowding and increased ...
... is used to prevent blood clots or heart attack in people with severe chest pain or other conditions, and in those who are undergoing a procedure called angioplasty (to open blocked arteries). Tirofiban may also be used for purposes not listed in this medication guide.
Results 50 patients were reviewed: mean age was 46.5 years, no female cases were reported. Toddy consumption was reported by 96% of patients. The most common complaint was fever (100%) and then abdominal pain (90%) often located in the right upper quadrant and chest pain on right side (26%). The majority (92%) had symptoms for ,2 weeks. Commonest physical finding was right hypochondriac tenderness (88%). The WBC count was the most consistent laboratory abnormality (88%), whereas the liver enzyme levels were often normal. Ultrasonography shows 85% of the abscesses on right and 19% on left side. Ampicillin and Metronidazole were the drugs of choice (88%). ...
5 Cant Miss Causes of Chest Pain Anyone who presents with chest symptoms, whether it is chest pain, pressure, shortness of breath, indigestion, or cough,
Jane King, from Bagshot, Surrey, has unexplained chest pain which is made worse by any sort of restriction, such as wearing a sports bra, as well as exercise.
The more of these symptoms you have, the more likely it is that youre having a heart attack. Chest pain or pressure is the most common symptom, but some people, especially women, may not notice it as much as other symptoms. You may not have chest pain at all but instead have shortness of breath, nausea, or a strange feeling in your chest or other areas.. ...
The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.. More common side effects may include: application-site pain, numbess or tingling, itching, warmth, discomfort.. Less common side effects may include:. Heart attack or other heart problems, with symptoms such as discomfort in the center of your chest that lasts for more than a few minutes or that goes away and comes back; chest pain or discomfort that feels like heavy pressure, squeezing, or fullness; pain or discomfort in your arms, back, neck, jaw, or stomach; shortness of breath with or without chest discomfort; breaking out in a cold sweat; nausea or vomiting; or lightheadedness.. Bleeding in the brain or stroke, with symptoms such as numbness or weakness in your face, arm, or leg, especially on one side of your body; ...
It is the middle of the night, and your partner shakes you awake, saying “I can’t breathe, and I am sweating like crazy.” Listen to her symptoms! Not everyone who is having a heart attack has chest discomfort. The classic kind of pain in the chest, which is often described as feeling like an elephant is sitting on one’s chest, only occurs about 25% of the time, and more unusual symptoms are the rule. Women tend to have symptoms that are different than men, more often experiencing shortness of breath, jaw discomfort, discomfort in the arm or sweating. - David Becker, M.D., Philadelphia Inquirer
Early signs and symptoms that can begin hours or days before a heart attack. You may or may not experience any or all of these symptoms. You may experience mild chest symptoms, such as pressure, burning, aching or tightness. These symptoms may come and go until finally becoming constant and severe.. ...
Insurance status is a better predictor of survival after a serious cardiac event than race, and may help explain racial disparities in health outcomes for cardiovascular disease. A new study by Derek Ng, from the Johns Hopkins ...
First of all, 80% of all SCA deaths happen to people who have serious cardiac disease, so it has nothing to do with Ca in the blood. If you have one tooth in your head, you probably have enough Ca to take care of all your hearts calcium needs. We have Ca in every cell of our body, and most of it is stored in our bones. Although I could not read the study without paying $35, I suspect the Mayo researchers were just collecting data, and noticed this marker in a modest number of patients. They claimed this finding should not be taken too seriously. Usually, low or high blood calcium is the result of some other underlying medical problem, and either one can cause heart rhythm failures, for one thing ...
The level of radiation you will be exposed to is similar to that of a chest CT scan, but no "dye" is used for this test. Patients who are unable to exercise on a treadmill will receive a medication called Adenosine or Lexiscan through an intravenous line. This may cause some temporary flushing, headache, shortness of breath, or chest discomfort. You will feel back to normal shortly after the medication infusion is complete ...
If you are suffering with chest pain please call 999 do not call the surgery or turn up at the surgery, if you are suffering with chest pain and you come to see a doctor or nurse they will call 999 meaning another delay. It is imperative for chest pain that you are seen ASAP in hospital.. ...
We put so much time and attention into improving and maintaining the skin on our face, its important to remember to also care for the delicate skin areas like our neck and chest, which can easily show the signs of aging. Factors like gravity, sun damage or having an ample chest can contribute to, and accelerate, the appearance of aging on your neck and chest.1
:o Ive had a dry unproductive smokers cough for 3 weeks. I dont smoke. I feel tired and I have chest discomfort. What do you think I have? Thanks for your opinions. :crying2:
Earlier last week I had to go to the hospital because I was experiencing sharp chest pains near the heart area along with feeling light-headed and my hands going numb. The doctors ran blood tests, chest x-rays and did an echo stress test. They found no issues and stated it may be work-stress related ...
TY - CHAP. T1 - The diagnostic approach to the cardiac patient with chest pain. AU - Jaffery, Zehra. AU - Grant, Arthur G.. PY - 2010. Y1 - 2010. UR - http://www.scopus.com/inward/record.url?scp=84891981554&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=84891981554&partnerID=8YFLogxK. M3 - Chapter. AN - SCOPUS:84891981554. SN - 9781617281129. SP - 97. EP - 118. BT - Chest Pain: Causes, Diagnosis, and Treatment. PB - Nova Science Publishers, Inc.. ER - ...
23 yrs old Male asked about Chest pain in right side, 1 doctor answered this and 530 people found it useful. Get your query answered 24*7 only on | Practo Consult
Rapid access chest pain clinics have facilitated the early diagnosis and treatment of patients with coronary heart disease and angina. Despite this important service provision, coronary heart disease continues to be under-diagnosed and many patients are left untreated and at risk. Recent advances in imaging technology have now led to the widespread use of noninvasive computed tomography, which can be used to measure coronary artery calcium scores and perform coronary angiography in one examination. However, this technology has not been robustly evaluated in its application to the clinic. The SCOT-HEART study is an open parallel group prospective multicentre randomized controlled trial of 4,138 patients attending the rapid access chest pain clinic for evaluation of suspected cardiac chest pain. Following clinical consultation, participants will be approached and randomized 1:1 to receive standard care or standard care plus ≥64-multidetector computed tomography coronary angiography and coronary calcium
A 58-year-old man with pleuritic chest pain presented for evaluation. He had a remote history of gastric surgery. There was a pericardial friction rub identified. A 12-lead ECG was consistent with acute pericarditis. Further imaging including a chest X-ray and CT scan of the chest was performed and a diagnosis was achieved.. A 58-year-old man was seen in the emergency department for evaluation of 2 days of central pleuritic chest pain, worse when supine. He described a 2-week history of non-productive cough, fever and progressive generalised malaise. His past medical history was significant for gastric cancer treated surgically with an oesophagectomy and partial gastrectomy with a left ...
Eighty-two (7.3%) patients died during the follow-up. The 2-year prognostic accuracy of hs-cTn was most accurate for hs-cTnT (area under the receiver operating characteristic curve [AUC], 0.78; 95% confidence interval [CI], 0.73-0.83) and outperformed both hs-cTnI (Beckman-Coulter, 0.71; 95% CI, 0.65-0.77; p = 0.001 for comparison), hs-cTnI (Siemens, 0.70; 95% CI, 0.64-0.76; p < 0.001 for comparison), and cTnT (0.67; 95% CI, 0.61-0.74; p < 0.001 for comparison). Absolute changes of hs-cTnT were more accurate than relative changes in predicting mortality, but inferior to presentation values of hs-cTnT. Combining changes of hs-cTnT within the first 6 hours with their presentation values did not further improve prognostic accuracy. Similar results were obtained for both hs-cTnI assays regarding the incremental value of changes. Hs-cTn concentrations remained predictors of death in clinically challenging subgroups such as patients with pre-existing coronary artery disease, impaired renal function, ...
Previous reports have indicated that hypertensive patients who have angina-like chest pain and normal coronary arteriograms have reduced coronary flow velocity reserve (CFVR) levels. In addition, elevated plasma endothelin-1 (ET-1) levels have been reported to be associated with microvascular angina. The purpose of this study was to evaluate the plasma ET-1 levels and CFVR in patients with chest pain but without coronary artery disease (CAD). A total of 66 patients were included in this study. CAD was ruled out by exercise stress test or coronary angiogram. Plasma ET-1 and CFVR measurements were performed in patients with (n=35) and without (n=31) a history of angina-like chest pain. CFVR was measured using adenosine-triphosphate stress transthoracic Doppler echocardiography. The mean ET-1 level was significantly higher and the CFVR was significantly lower in patients in the symptomatic group than in those in the asymptomatic group (ET-1: 3.85±1.24 pg/ml vs. 2.98±1.27 pg/ml, CFVR: 2.26±0.48 vs. 2.77
Overall, the reasons for medical evacuation were comparable between the military and nonmilitary personnel, although we noted several important differences. The observation that military personnel were more likely to be evacuated with war-related injuries, and nonmilitary members with non-war-related injuries, was not unexpected. What was surprising was that the principal contributor to this disparity was the higher evacuation rates among military personnel than among nonmilitary personnel because of psychiatric diagnoses (9.1% v. 2.1%). This effect was amplified by the fact that military personnel were less likely than nonmilitary members to return to duty after evacuation because of a psychiatric condition.. The other major finding was the higher toll that circulatory conditions and noncardiac chest or abdominal pain exacted on nonmilitary members. In contrast, military personnel evacuated with non-war-related injuries were more likely to have a diagnosis related to musculoskeletal/ spine ...
Chest pain in ESRD from ADPKD has a list of differential diagnosis which includes uremic pericarditis, acute coronary artery disease, pericardial effusion and rarely pericardial cysts, among others. We present a case of pleuritic chest pain secondary to portal hypertensive gastropathy (PHG) in a 24-year old Caucasian male patient with ADPKD who was on maintenance hemodialysis for ESRD, and who previously had been misdiagnosed as acute recurrent pericarditis. The management options for PHG are briefly discussed. Finally, we propose that PHG should be kept in the differential diagnosis of chest pain, pleuritic or non-pleuritic, with or without gastrointestinal symptoms, in patients with ADPKD, with or without renal failure. Moreover, the importance of a detailed medical history in the management of these patients cannot be over emphasized.
Objective: The objective of this study was to compare an expedited 24-hour management pathway against traditional inpatient ward management of patients with primary spontaneous pneumothorax (PSP) and recurrent spontaneous pneumothorax (RSP). Method: This was a retrospective chart review of all patients who presented with either PSP or RSP to an urban tertiary university hospital in 2007. Results: Eighty-two patients were included in the study, of which approximately a third (27) were managed in the emergency department observation unit (EDOU). Five of the EDOU patients were admitted to the ward. Emergency department observation unit treatment failures as defined by recurrences within a week were comparable to those managed in the ward. One of 5 PSP patients receiving only oxygen therapy managed in the EDOU had their pneumothorax recur within a week on discharge, whereas none of the 15 receiving needle aspiration recurred within a week. For the RSP patients managed in the EDOU, 1 of 3 managed ...
The clinical characteristics of angina pectoris are gender-specific: 1) angina is the predominant initial manifestation of coronary artery disease (CAD) in women but not in men, 2) the prevalence rate of angina is greater in women than men, and 3) chest pain both typical and atypical for angina in women is frequently not caused by fixed obstructive epicardial CAD (1-3). An alternative mechanism of recurrent chest pain in the absence of significant angiographically detected CAD is coronary microvascular dysfunction, which is defined as disordered function of the smaller coronary resistance vessels (,100 to 200 μm) that play a role in the regulation of coronary blood flow. Although these microvessels are usually spared from the gross morphologic changes of atherosclerosis, they may have abnormal motility, growth, inflammation and/or permeability resulting in disordered vascular function.. Microvascular angina is more prevalent in women than in men and may be manifested by chest pain, an abnormal ...
TY - JOUR. T1 - Congenital coronary artery fistula presenting later in life. AU - Abusaid, Ghassan H.. AU - Hughes, Douglas. AU - Khalife, Wissam I.. AU - Parto, Parham. AU - Gilani, Syed A.. AU - Fujise, Ken. PY - 2011/8/1. Y1 - 2011/8/1. N2 - A 53-year-old male presented to our tertiary medical center with complaints of dyspnea and exertional chest pain with mild left ventricular dysfunction and right ventricular enlargement on echocardiography. Cardiac catheterization showed a congenital right coronary artery fistula communicating with the right sided chambers. Using contrast enhanced multi-detector computed tomography scan, the fistula was clearly draining into the coronary sinus. We describe briefly the etiology of coronary artery fistula, its clinical presentation, and the common tests used to confirm diagnosis. We further discuss the types of treatment modalities that are currently available.. AB - A 53-year-old male presented to our tertiary medical center with complaints of dyspnea and ...

Costochondritis, Costochondritis Treatment, Costochondritis Alternative Medicine, Costochondritis Alternative Treatment,...Costochondritis, Costochondritis Treatment, Costochondritis Alternative Medicine, Costochondritis Alternative Treatment,...

Costochondritis is the most common cause of chest pain originating in the chest wall. It occurs most often in women and people ... Costochondritis is an inflammation of the cartilage that connects a rib to the breastbone (sternum). It causes sharp pain in ... Pain caused by costochondritis may looks like a heart attack or other heart conditions. ...
more infohttp://www.thetole.com/CostochondritisTreatmentCure.html

RespInnovation - Intended Use / Known ContraindicationsRespInnovation - Intended Use / Known Contraindications

RespIn 11 Bronchial Airway Clearance System is a Focused Pulse High Frequency Chest Wall Oscillation (HFCWO) device that ... Complaint of chest wall pain. *Rib fractures, with or without flail chest (within 30 days - after this may help splint/ ...
more infohttp://www.respinnovation.com/index.php/features/intended-use-known-contraindications

Chest Pain - Managing Side Effects - ChemocareChest Pain - Managing Side Effects - Chemocare

Chest pain chemotherapy side effect, causes, symptom management and when to contact your healthcare provider during cancer ... What Is Chest Pain?. Chest pain is a painful or unpleasant sensation in your chest, which may or may not be associated with ... Chest pain can happen in adults for a variety of reasons. Some causes of chest pain may include:. *Lung - you may have ... The goal of chest pain is to relieve the cause. * If your chest pain is due to musculoskeletal problems, such as muscle strain ...
more infohttp://chemocare.com/chemotherapy/side-effects/chest-pain.aspx

Chest Pain | MedlinePlusChest Pain | MedlinePlus

Chest pain can be caused by a heart attack, but it can have other causes. Learn about what they are, and when you should get ... Get immediate medical care if you have chest pain that does not go away, crushing pain or pressure in the chest, or chest pain ... Having a pain in your chest can be scary. It does not always mean that you are having a heart attack. There can be many other ... Heartburn or Chest Pain: When Is It Heart Attack? (Mayo Foundation for Medical Education and Research) Also in Spanish ...
more infohttps://medlineplus.gov/chestpain.html

Chest PainChest Pain

Managing chest pain. If you have chest pain after surgery or during or after radiation therapy, talk to your doctor. A number ... Other tips for managing chest pain:. * Hot or cold packs, or a combination of the two, can soothe aches. Heat can help reduce ... After surgery, you may feel a mixture of pain and numbness in your chest in the area where surgery was done. This is because ... During and after radiation therapy, you also may feel brief shooting pains in your chest. Again, this is because the nerves are ...
more infohttps://www.breastcancer.org/treatment/side_effects/chest_pain

Chest pain: MedlinePlus Medical EncyclopediaChest pain: MedlinePlus Medical Encyclopedia

Chest pain is discomfort or pain that you feel anywhere along the front of your body between your neck and upper abdomen. ... Is the pain getting worse? How long does the pain last?. *Does the pain go from your chest into your shoulder, arm, neck, jaw, ... Many people with chest pain fear a heart attack. However, there are many possible causes of chest pain. Some causes are not ... Heart or blood vessel problems that can cause chest pain:. *Angina or a heart attack. The most common symptom is chest pain ...
more infohttps://medlineplus.gov/ency/article/003079.htm

Intermittent Chest Pain?Intermittent Chest Pain?

... pain, aspirin, metoprolol, heart - Answer: Hi Aduenas, Chest pain and palpitations are very scary and potentially ... ... Home › Q & A › Questions › Intermittent Chest Pain?. Intermittent Chest Pain?. Asked. 1 Mar 2017 by aduenas408. Updated. 1 Mar ... arrhythmia, pain, aspirin, metoprolol, heart, chest pain, chest, regimen. Details:. Ive been suffering from heart palpitations ... Chest pain and palpitations are very scary and potentially very dangerous.. If you have gone to a cardiologist and you trust ...
more infohttps://www.drugs.com/answers/intermittent-chest-pain-3230083.html

Unexplained Chest Pain?Unexplained Chest Pain?

... pain, gerd, medication, chest pain, diagnosis, chest - Answer: Hi deadoralive, Let me warn you about ... ... Unexplained Chest Pain?. Asked. 17 Jun 2017 by deadoralive4. Active. 17 Jun 2017. Topics. pain, gerd, medication, chest pain, ... Aside from acid reflux, I get tight, dull, aching chest pain in the upper middle part of my chest in between my breasts (im a ... Chest pain above my left breast and very tight chest. Any ideas?. Posted 18 Nov 2017 • 1 answer ...
more infohttps://www.drugs.com/answers/unexplained-chest-pain-3282236.html

Chest Pain: Check Your Symptoms and SignsChest Pain: Check Your Symptoms and Signs

Symptoms associated with chest pain include a squeezing sensation, shortness of breath, and dizziness. Pinpoint your symptoms ... Learn about causes of chest pain and learn of medications used in the treatment of chest pain. ... Main Article on Chest Pain. * Chest Pain. Chest pain is a common complaint by a patient in the ER. Causes of chest pain include ... Chest Pain Quiz. What causes chest pain? If you have chest pain, does it mean youre having a heart attack? Take the quiz to ...
more infohttps://www.medicinenet.com/chest_pain/symptoms.htm

Chest Pain - Chronic Pain - MedHelpChest Pain - Chronic Pain - MedHelp

I have 2 separate issues within the same area of my chest, not sure if they are related. I am female and 24yrs old.The 1st ... Sharp pain in the chest related to breathing is often pleuritic pain, meaning that it relates to the sensitive lining of the ... I get a crippling pain on the left side of my chest just below my breast. its not a shallow pain & is behind my ribcage. The ... Chest Pain Leanne85 I read to post from the 22 year old male and have similar symptoms. I have 2 separate issues within the ...
more infohttps://www.medhelp.org/posts/Chronic-Pain/Chest-Pain/show/983855

Chest pain - Heart Disease - MedHelpChest pain - Heart Disease - MedHelp

Once I felt pain in the left side of my chest and consulted with a cardiologist. He asked me to do ECG and it was normal. He ... I have been suffering from chest pain since last year July. ... Chest pain Mezba I have been suffering from chest pain since ... Chest pain. I have been suffering from chest pain since last year July. Once I felt pain in the left side of my chest and ... After two months later I felt good and there was no chest pain. But 2/3 months later I again felt chest pain. The doctor asked ...
more infohttps://www.medhelp.org/posts/Heart-Disease/Chest-pain/show/792673

Chest pain and anxiety: Symptoms, causes, and treatmentChest pain and anxiety: Symptoms, causes, and treatment

What does anxiety chest pain feel like and how does it differ to a heart condition? What causes chest pain during anxiety and ... One of its effects can be chest pain similar to a heart attack. ... Anxiety chest pain vs. heart conditions. Anxiety chest pain may ... but chest pain caused by anxiety remains in the chest.. Anxiety chest pain tends to develop quickly and then fade somewhat ... Anxiety chest pain is more common in panic attacks that come on quickly. Chest pain is reported as a symptom in just one out of ...
more infohttps://www.medicalnewstoday.com/articles/319496.php

6 Ways to Ease Sudden Chest Pain - wikiHow6 Ways to Ease Sudden Chest Pain - wikiHow

Chest pain does not necessarily suggest a heart issue. Of the 5.8 million Americans who visit emergency rooms for chest pain ... Easing Chest Pain From a Heart AttackEasing Chest Pain From PericarditisEasing Chest Pain From Lung ConditionsEasing Chest Pain ... The resulting chest pain usually feels like a sharp, stabbing pain in either the center or the left side of your chest. In some ... Chest pain does not necessarily suggest a heart issue. Of the 5.8 million Americans who visit emergency rooms for chest pain ...
more infohttps://www.wikihow.com/Ease-Sudden-Chest-Pain

Chest pain in women: Causes, diagnosis, and treatmentChest pain in women: Causes, diagnosis, and treatment

Learn about the causes, diagnosis, and treatment of chest pain in women here. ... A heart attack is a common cause of chest pain, but women may have different symptoms than men. ... Is this chest pain from GERD or a heart attack?. Both heartburn and heart attacks can cause pain in the center of the chest. ... What could cause chest pain?. Pain in the chest may cause people to worry. Although some causes are severe, such as heart ...
more infohttps://www.medicalnewstoday.com/articles/327213.php

Chest Pain - Bike ForumsChest Pain - Bike Forums

It doesnt sound like it was cardiac pain, although at 34 years old, you may as well get a stress test. Did your chest pain ... Ive been on omeprazole (prilosec) 2x/day since the last chest-pain episode, and it as kept these pains away. At your age and ... or pain in the center of the chest that lasts more than a few minutes or that goes away and comes back.. Pain spreading to the ... Chest Pain The other day we went for our regular Tuesday night ride. We are down to about 18 miles or so now becuase its ...
more infohttps://www.bikeforums.net/training-nutrition/71433-chest-pain.html

Symptoms of Chest PainSymptoms of Chest Pain

Encyclopedia section of medindia briefs you about the symptoms of Chest Pain ... Chest Pain - Initial Approach to the patient with Chest pain. Chest pain is one of the most feared symptoms in primary care. ... Symptoms of Chest Pain. Chest pain or pressure of mid sternal (under the breastbone) or slightly to the left may radiate to ... Chest Pain - Children - (https://www.cincinnatichildrens.org/health/c/chest). *Angina (Chest Pain) - (https://www.heart.org/en/ ...
more infohttps://www.medindia.net/patients/patientinfo/chestpain_symptoms.htm

A breathless man with diffuse chest pain | The BMJA breathless man with diffuse chest pain | The BMJ

A breathless man with diffuse chest pain. BMJ 2009; 338 doi: https://doi.org/10.1136/bmj.b1105 (Published 01 April 2009) Cite ...
more infohttps://www.bmj.com/content/338/bmj.b1105/rapid-responses

A breathless man with diffuse chest pain | The BMJA breathless man with diffuse chest pain | The BMJ

A breathless man with diffuse chest pain. BMJ 2009; 338 doi: https://doi.org/10.1136/bmj.b1105 (Published 01 April 2009) Cite ... Acute abdominal pain in an older patient BMJ May 01, 2019, 365 l1337; DOI: https://doi.org/10.1136/bmj.l1337 ... An unexpected finding on a chest radiograph BMJ February 20, 2020, 368 m426; DOI: https://doi.org/10.1136/bmj.m426 ...
more infohttps://www.bmj.com/content/338/bmj.b1105/related

Pandher in hospital after chest pain | india | Hindustan TimesPandher in hospital after chest pain | india | Hindustan Times

Pandher complains of chest pains and is admitted to the intensive cardio care unit of Civil Hospital in Gandhinagar, reports ... Pandher in hospital after chest pain Pandher complains of chest pains and is admitted to the intensive cardio care unit of ... Later in the day, Pandher complained of chest pains and was admitted to the intensive cardio care unit of Civil Hospital in ... More pain awaits Virat Kohlis Indian cricket team in South Africa, hints Mark ... ...
more infohttp://www.hindustantimes.com/india/pandher-in-hospital-after-chest-pain/story-ykXoOTAf5sIYFwne9820cK.html

MGH Cardiovascular Images - New-Onset Chest PainMGH Cardiovascular Images - New-Onset Chest Pain

New-Onset Chest Pain. Ricardo J. Benenstein, MD, Rahul Kakkar, MD, Wilfred Mamuya, MD, PhD, Suhny Abbara, MD. INSIDE THE MGH. ... chest pain syndrome. The day of admission, she was awakened from sleep with substernal chest pressure which was non-radiating, ... Following catheterization, she continued to have episodes of chest pain with associated ST segment depression and T wave ...
more infohttps://www.massgeneral.org/imaging/news/cv-newsletter/april_2009/

Chest pain - Symptoms and causes - Mayo ClinicChest pain - Symptoms and causes - Mayo Clinic

Heres why its so important to see your doctor about chest pain. ... Chest pain has many possible causes - and some of them are ... Other types of chest pain. It can be difficult to distinguish heart-related chest pain from other types of chest pain. However ... Chest pain can also be caused by:. *Panic attack. If you have periods of intense fear accompanied by chest pain, a rapid ... Chest pain appears in many forms, ranging from a sharp stab to a dull ache. Sometimes chest pain feels crushing or burning. In ...
more infohttps://www.mayoclinic.org/diseases-conditions/chest-pain/symptoms-causes/syc-20370838

Is chest pain normal? | Mom Answers | BabyCenterIs chest pain normal? | Mom Answers | BabyCenter

I am almost 7 weeks pregnant and i keep feeling a sharp pain in my chest on the left side towards the middle, approx. where the ... I am almost 7 weeks pregnant and i keep feeling a sharp pain in my chest on the left side towards the middle, approx. where the ... I thought it was from my bra getting tighter but the pain still persits after i remove my bra. Is this nornal? ...
more infohttps://www.babycenter.com/400_is-chest-pain-normal_6701378_229.bc

Chest Pain in LTC | allnursesChest Pain in LTC | allnurses

Just wondering what those of you do in LTC when you have a resident c/o chest pain...I know its not the same sort of ER ... When I have a resident c/o chest pain, while taking his vitals I ask him, what kind of pain is it and what number (?/10), does ... Just wondering what those of you do in LTC when you have a resident c/o chest pain...I know its not the same sort of ER ... Remember that chest pain symptoms can vary from person to person. I have found that women and diabetics have had MIs with ...
more infohttp://allnurses.com/general-nursing-discussion/chest-pain-in-40351.html

Chest Pain ProgramChest Pain Program

... Chest pain is one of the most common reasons why patients come to an Emergency Room, but only a small ... Whether the chest pain is caused by heart disease or not, all patients in the Chest Pain Center consult with a cardiologist to ... The Chest Pain Program, established in 2008 and fully accredited by the Society of Chest Pain Centers, has brought cardiac care ... There can be many different reasons for chest pain, and the Chest Pain Program utilizes cutting edge protocols and technology ...
more infohttps://www.orlandohealth.com/facilities/dr-p-phillips-hospital/services/heart-and-vascular-care/chest-pain-program

Chest pain - WikipediaChest pain - Wikipedia

Chest pain is pain in any region of the chest. Chest pain may be a symptom of a number of serious disorders and is, in general ... Chest pain can be differentiated into heart-related and non heart related chest pain.[1][2][3] Cardiac chest pain is called ... Chest pain that radiates to one or both shoulders or arms, chest pain that occurs with physical activity, chest pain associated ... These include chest pain described as "sharp" or "stabbing", chest pain that is positional or pleuritic in nature, and chest ...
more infohttps://en.m.wikipedia.org/wiki/Chest_pain
  • If you have had any damage to your ribs, from injuries or tumors, this can cause you to feel pain in your chest. (chemocare.com)
  • The 2nd issue is on the left handside of my chest (on the edge of my ribcage just below where my ribs join in the centre of my chest) I have an inflamation of something, it's soft tissue & rubs against the edge of my rib cage when I press it (not hard), it's always there & gets worse if I am stressed. (medhelp.org)
  • If your doctor suspects you have a musculoskeletal problem like a rib fracture or costochondritis, they may check along your ribs, chest, and sternum for areas of swelling. (healthline.com)
  • I can feel it in my back, the left side under my ribs, and angles up accrossed my chest (left side) on an angle upward from left to right. (healingwell.com)
  • The most common source for the pain would be as you put it-- an area of inflammation and pain from a pulled muscle or maybe a large lipoma, or fatty tumor (that is benign). (medhelp.org)
  • Chest pain is a painful or unpleasant sensation in your chest, which may or may not be associated with heart tissue damage. (chemocare.com)
  • Chest pain may present as a stabbing, burning, aching, sharp, or pressure-like sensation in the chest. (wikipedia.org)
  • Myocardial infarction ("heart attack") - People usually complained of a pressure or squeezing sensation over the chest. (wikipedia.org)
  • Pain in your chest can be described as squeezing or crushing, as well as a burning sensation. (healthline.com)
  • Do belching and/or a burning sensation in the upper abdomen come with the chest pain? (healthy.net)
  • It can be difficult to distinguish heart-related chest pain from other types of chest pain. (mayoclinic.org)
  • As the nerves grow back, you may feel strange, crawling sensations in your chest. (breastcancer.org)
  • The sensations affecting the chest tend to last for more than a few minutes or stop before starting again. (medicalnewstoday.com)
  • Chest pain can cause many different sensations depending on what's triggering the symptom. (mayoclinic.org)
  • The chest pain is often pleuritic in nature (associated with respiration) which is aggravated when lying down and relieved on sitting forward, sometimes, accompanied by fever. (wikipedia.org)
  • In fact, studies suggest that one out of every four individuals seeking treatment for chest pain is actually suffering from panic disorder. (medicalnewstoday.com)
  • Chest pain is reported as a symptom in just one out of ten panic attacks that develop slowly. (medicalnewstoday.com)
  • In some cases, chest pain may be due to gastrointestinal complications and conditions. (medicalnewstoday.com)
  • I also get random 'attacks' of dull pain on my left side of my breast and under my armpit on my left side towards the rib. (drugs.com)
  • In some patients, though, the pain is more of a dull pressure that spreads to the jaw and/or left arm. (wikihow.com)
  • The resulting chest pain usually feels like a sharp, stabbing pain in either the center or the left side of your chest. (wikihow.com)
  • You can feel it on one side of your chest or spread across a wide area. (healthline.com)
  • Palpitation of heart stopped with that, but chest pain on left side is severe, feel too much heaviness in the chest while sleeping or lying down. (medindia.net)
  • This keeps outside air from getting into the chest cavity, but allows any trapped air to escape. (healthy.net)
  • There can be many different reasons for chest pain, and the Chest Pain Program utilizes cutting edge protocols and technology to evaluate patients experiencing potential heart attacks and provide rapid diagnosis and treatment. (orlandohealth.com)
  • Chest pain may present in different ways depending upon the underlying diagnosis. (wikipedia.org)
  • Tests that may be used to help determine a diagnosis include a chest X-ray and an electrocardiogram (ECG or EKG) . (healthline.com)
  • The severity of pain does not indicate how severe the damage to the heart muscle may be. (chemocare.com)
  • Smoking can increase the chance of developing chest pain and heart disease. (chemocare.com)
  • You can try to control your heart disease, high blood pressure, and diabetes to decrease your chances of developing chest pain. (chemocare.com)
  • Heartburn or Chest Pain: When Is It Heart Attack? (medlineplus.gov)
  • Many people with chest pain fear a heart attack . (medlineplus.gov)
  • In children, most chest pain is not caused by the heart. (medlineplus.gov)
  • Heart Palpitation, Cortisol Release and left chest pain in the middle of the night? (drugs.com)
  • As I've said it's this random pushing 'pain' that's instantaneous and goes away after a few seconds near my left breast (It doesn't seem to be where my heart is though). (drugs.com)
  • Each year, approximately 790,000 people in the United States have heart attacks , and 12-16 percent of the population will experience chest pains during their lifetime. (medicalnewstoday.com)
  • However, not all incidents of chest pain are signs of a heart attack. (medicalnewstoday.com)
  • Chest pain does not necessarily suggest a heart issue. (wikihow.com)
  • Of the 5.8 million Americans who visit emergency rooms for chest pain every year, 85% get diagnoses unrelated to the heart. (wikihow.com)
  • The chest pain experienced during a heart attack can be described as dull, achy, squeezing, tight, or like a heavy pressure. (wikihow.com)
  • but the best advice I had from a dr. was that if the pain gets better, it's likely NOT your heart. (bikeforums.net)
  • If you have new or unexplained chest pain or suspect you're having a heart attack, call for emergency medical help immediately. (mayoclinic.org)
  • Chest pain is one of the most common reasons why patients come to an Emergency Room, but only a small percent of those patients are actually having a heart attack. (orlandohealth.com)
  • Chest pain can be differentiated into heart-related and non heart related chest pain. (wikipedia.org)
  • Even though chest pain may not be related to a heart problem, noncardiac chest pain can still be due to significant disease. (wikipedia.org)
  • Seek immediate medical help if you think a heart attack is causing your chest pain and vomiting. (healthline.com)
  • Fibromyalgia chest pains can be a frightening experience because the painful feelings can mimic a heart attack. (healthline.com)
  • If you go to the emergency room for chest wall pain, most doctors will want to make sure your pain isn't being caused by a heart attack or another serious problem. (healthline.com)
  • If your chest wall pain is caused by a heart attack or other serious heart condition, you may receive blood thinners or medications that open arteries. (healthline.com)
  • Even though it may be determined that the pain is not from a heart problem, noncardiac chest pain can still be a significant disease. (wikipedia.org)
  • Chest pain may start in the chest, and spread to the throat, jaw, shoulder blades, or arms (left or right). (chemocare.com)
  • Chest pain above my left breast and very tight chest. (drugs.com)
  • I am female and 24yrs old.The 1st issue, for years now, I get a crippling pain on the left side of my chest just below my breast. (medhelp.org)
  • Last two days I also felt pain in my left arm. (medhelp.org)
  • The pain is in the same place of the chest and it is in between the left nipple and the middle of my chest. (medhelp.org)
  • They may also have pain in both arms, rather than just the left arm. (medicalnewstoday.com)
  • The pain is usually located on the left side of the chest above the bottom of the ribcage, but it's often hard to define its exact location. (medindia.net)
  • lateral infarction is associated with left arm pain. (wikipedia.org)