Atypical chest pain: looking beyond the heart

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Atypical chest pain: looking beyond the heart.

Chest pain is common, and tends to be overinvestigated. Patients with normal coronary anatomy have a low mortality, but remain significantly incapacitated. We discuss ways of improving the management of such patients. An early diagnosis of a non-cardiac cause of pain should be made, ideally by the general practitioner, taking account of risk factors for cardiac as well as psychological disorder...

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Atypical chest pain.

Chest pain is a common reason why patients seek medical consultation. Chest pain can be caused by life-threatening diseases and requires extensive diagnostic evaluation, especially to exclude acute cardiac pathologies. However, in the case of atypical chest pain with a normal electrocardiogram and serum levels of myocardial necrosis markers with in the reference ranges, non-cardiac causes of ch...

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An atypical cause of atypical chest pain

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Looking into and beyond the heart.

An 89-year-old man presented with intermittent chest and epigastric pain, nausea and vomiting of one day’s duration. His previous medical history included coronary artery disease and severe aortic valve stenosis, treated by transcatheter aortic valve implantation (26 mm Edwards) 14 months before. After the procedure, he suffered complete atrioventricular block, and a dual chamber pacemaker was ...

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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...

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ژورنال

عنوان ژورنال: QJM

سال: 1998

ISSN: 1460-2725,1460-2393

DOI: 10.1093/qjmed/91.3.239