department with symptoms of chest pain cannot perform adequate treadmill exercise. In these patients we perform vasodilator myocardial perfusion imaging. Our study examined the usefulness of resting myocardial perfusion imaging alone for triaging patients with chest pain and nondiagnostic electrocardiograms. We believe that optimal protocols for evaluating patients with chest pain in emergency ...

BACKGROUND Chest pain frequently occurs without any signs of ischemia within the first 24 hours after coronary interventions. To test the hypothesis that this pain may be due to local vessel injury ("stretch pain"), we performed a prospective study enrolling patients after PTCA, stent implantation, or diagnostic coronary angiography alone. METHODS AND RESULTS A total of 145 patients after cor...

The differential diagnosis of chest pain, one of the most frequent symptoms referred in the emergency department, includes cardiac and noncardiac causes and represents a difficult challenge for clinicians. Noncardiac chest pain can be defined as the recurrence of chest pain episodes indistinguishable from coronary events after the exclusion of a cardiac cause. It may be of musculoskeletal, pulm...

OBJECTIVE To evaluate the prognostic value of high-sensitivity troponin T (hs-cTnT) in patients who present to General Practitioners (GPs) with non-acute chest pain. DESIGN, SETTING AND PATIENTS A total of 625 patients who were referred by their GPs to a regional Rapid Access Chest Pain Clinic in Tayside, Scotland were consented and recruited. Diamond-Forrester pretest probability of coronary...

In childhood, chest pain occurring at exercise is a common complaint. A cardiac etiology for it is exceptionally found, explaining that most children do not undergo systematic cardiological investigation. However, chest pain at exercise may manifest as the unique symptom of a viral myocarditis. Recognizing this form of myocardial injury, however, might help to avoid clinical deterioration by pr...

A 46 year old woman presented with sudden onset severe, tight, central chest pain. She had stopped smoking 10 years previously, but there were no other cardiac risk factors. The ECG showed sinus rhythm with marked ST elevation over the anterior chest leads, and she received intravenous tPA within two hours of symptom onset. Despite thrombolysis, diamorphine, and intravenous â blockade, the pain...

Daşkapan A, Şanlı C, Aydoğan-Arslan S, Çiledağ-Özdemir F, Korkem D, Kara U. Evaluation of the functional capacity, respiratory functions and musculoskeletal systems of the children with chest pain for non-cardiac reasons. Turk J Pediatr 2017; 59: 295-303. Chronic chest pain in healthy children and adolescents generally arises from non-cardiac factors. The purpose of our study was to compare the...

INTRODUCTION Although many protocols are available in the field of the prehospital medical care (PMC), there is still a notable gap between protocol based directions and applied clinical practice. This study measures the rate of protocol adherence in PMC provided for patients with chest pain and loss of consciousness (LOC). METHOD In this cross-sectional study, 10 educated research assistants...