Using chest pain to diagnose acute MI

Ability of emergency physicians to diagnose acute coronary syndrome on the ECG of acute chest pain patients

Methods 80 male and female ED physicians each received 20 ECGs and answered two questions for each ECG: #1 “Will this patient’s discharge diagnosis be ACS?” (yes/ no), and #2 “On a scale of 0-100, how likely is it that the patient will be discharged with an ACS diagnosis?” Data on each physician’s gender, experience, and daily practice in ECG reading were collected. Physicians’ answers were ass...

Acute chest pain and paraparesis.

Acute and Chronic Chest Pain

1. To understand the differential diagnosis of chest pain requiring cardiac surgical consultation. 2. To understand the physiology of and rationality for medical treatment of ischemic coronary artery disease. 3. To differentiate acute aortic dissection from myocardial infarction in the emergency setting. 4. To understand initial stabilization of the patient with aortic dissection. 5. To recogni...

Chest Pain

اغلب بیماران می پندارند که درد قفسه (Chest Pain) نشانگر به سکته قلبی است. البته الزاماً این طور نیست، درد ممکن است منشا ریوی، معده - روده ای، روانی یا ماهیچه ای - استخوانی داشته باشد، وقتی دو مورد و یا بیشتر از آن با هم همراه شوند، علائم بروز می کند. همه اینها تشخیص درد سینه را مشکل می سازد. فقط با جداکردن علائم فردی و بیماریهای مربوط به آن می توانید یک تصویر تشخیصی معین و واضحی را ترسیم کنید. 

Acute Chest Pain Related to Pericardial Fat Necrosis

An otherwise healthy 56-year-old woman (BMI, 31 kg/m) presented to our emergency department with acute nonradiating left-sided chest pain. She had no associated dyspnea, fever, or other clinical findings. An electrocardiogram and serum troponin level were unremarkable. Nonenhanced computed tomography (CT) of the chest (Figure 1) showed a left anterior low-attenuation (−80HU) pericardial mass wi...