Chest pain is an alarming complaint in children, leading an often frightened and concerned family to a pediatrician or emergency room and commonly to a subsequent referral to a pediatric cardiologist. Because of the well-known association of chest pain with significant cardiovascular disease and sudden death in adult patients, medical personnel commonly share heightened concerns over pediatric ...

UNLABELLED Variant angina presenting acute chest pain and ST elevation on electrocardiogram accounts for an underdiagnosed scenario in acute coronary syndrome and contributes to syncope as a consequence of ventricular arrhythmia. Here, we report a case of a 48-year-old man with a recent onset of chest pain and palpitations followed by syncope. Holter monitoring documented 2 episodes of evolving...

In a retrospective study of chest pain, 267 children were identified. This gave an occurrence rate (per patient visit) of 0.249%. Male patients were identified as often as female patients, and teenagers as often as children less than age 12 years. Chest pain was found to be present for more than 1 month in 8.6% and for more than 1 year in 7.8%. Idiopathic chest pain was the most common diagnosi...

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...

Pain involving the chest causes the patient to seek medical attention with an urgency that is second only to that following hemoptysis. There is frequently anxiety accompanying this pain and the insistence of the patient on relief is completely out of proportion to the degree of pain. The result has been that over the years the physician has yielded to this demand and has directed his treatment...

Chest pain is a common cause of accident and emergency (A&E) presentation. In the United States, it accounts for 5–6% of new emergency department attendances. 2 The principal challenge in these patients is to identify those with an acute coronary syndrome (ACS). Early diagnosis allows eVective treatment and inadvertent discharge may have disastrous consequences for patient and doctor: in the Un...

Correspondence Oesophageal chest pain SIR,-We would like to make three comments on the leading article by Drs Blackwell and Castell in the January issue of Gut. 1 They point the need for studies of oesophageal motility during effort angina in patients with proven coronary artery disease: we would refer them to our publications reporting that in six such patients we found no associated evidence ...

Chest pain is a common complaint in a patient presents to the emergency department(ED) and it caused by several life threatening conditions such as esophageal perforation. A 78 years old man known case of ischemic heart disease came into the ED with complaint of chest pain, physical examinations were normal on arrival. Electrocardiogram and chest x ray were no specific. Eventually he was admitt...

Noncardiac chest pain (NCCP) affects approximately 1 quarter of the adult population in the United States. The pathophysiology of the disorder remains to be fully elucidated. Identified underlying mechanisms for esophageal pain include gastroesophageal reflux disease (GERD), esophageal dysmotility, and visceral hypersensitivity. Aggressive antireflux treatment has been the main therapeutic stra...