An Uncommon Cause of Typical Cardiac Chest Pain

An uncommon cause of typical cardiac chest pain.

A 64-year-old woman presented with typical angina during exercise for 2 weeks. An exercise treadmill test provoked similar chest pain and showed abnormal ST segments suggestive of myocardial ischemia during peak exercise. A prospectively ECG-triggered adaptive dual-source coronary computed tomography angiography ruled out coronary artery disease. Instead it demonstrated a nonenhanced clover-lik...

Atypical cause of a typical chest pain

A 56 year old African American female who had a past medical history of transient ischemic attack in 2006 presented in our emergency department with first episode of sudden onset of severe central chest pain radiating to both arms , exaggerated by exertion, without any relieving factors, associated with nausea and sweating. She was taking baby aspirin, folic acid and multivitamin regularly. She...

Spontaneous pneumomediastinum: an uncommon cause of chest pain.

A three-year old boy with a history of reactive airway disease requiring occasional nebulizer therapy presented to the Hasbro Emergency Department with complaints of cough, dyspnea, and chest pain. His physical examination was significant for an otherwise healthy appearing but mildly distressed child with diminished breath sounds bilaterally and a bilateral expiratory wheeze. His laboratory wor...

An uncommon cause of chest pain – penetrating atherosclerotic aortic ulcer

Chest pain is a very common symptom and can be of cardiac or non-cardiac origin. It accounts for approximately 5.5 million annual emergency room visits in the United States, according to 2011 CDC data. Penetrating atherosclerotic aortic ulcer (PAU), an uncommon condition, is also a potential cause of chest pain. We here report the case of a 65-year-old woman who presented with atypical chest an...

Chest pain - common presentation , uncommon cause !