Woman With Chest Pain, Back Pain, and Cardiac Arrest

A woman with back pain.

The Editorial Board of JNMA is proud to launch yet another reader-oriented monthly column entitled "Radiology Rounds", which will be orchestrated by Dr. James Collins, longtime NMA member and professor of radiology at UCLA. Dr Collins and his colleagues across the country will endeavor to bring us a variety of interesting cases with both an educational and clinical message that will undoubtedly...

49-year-old woman with chest pain.

A young woman with chest pain.

A case of a previously fit young woman admitted with chest pain, who was found at coronary angiography to have dissection of the left main stem which extended to the left anterior descending and circumflex coronary arteries, is presented. Emergency coronary artery bypass grafting was performed (vein grafts to the left anterior descending, the diagonal, and circumflex arteries). The patient made...

Middle-aged Woman With Recurrent Chest Pain

An initial ECG revealed striking ST-segment elevations and T-wave inversions in the anteroseptal leads; these findings appeared to be acute. The cardiac troponin levels and creatine kinase (CK) and MB CK fractions obtained during a "rule out myocardial infarction (MI)" protocol were all elevated. In the first 24 hours, no signs or symptoms of congestive heart failure appeared and oxygen saturat...

Back, chest and abdominal pain - is it spinal referred pain?

BACKGROUND In patients with pain in the back, chest or abdomen, it may be difficult to differentiate nonmusculoskeletal causes from musculoskeletal causes. OBJECTIVE This article discusses the mechanisms of musculoskeletal referred pain and the key clinical features that help the practitioner differentiate such pain from nonmusculoskeletal pain, thereby informing appropriate management. DIS...