We report the case of a 65 year old man with recent onset of insulin requiring diabetes mellitus, frequent attacks of anginal chest pain, paroxysmal hypertension poorly controlled with three medications, hyperlipidemia, and mild renal insufficiency. The patient was found to have pheochromocytoma of the left adrenal gland, resection of which resulted in total resolution of diabetes, hyperte...

OBJECTIVE To study various characteristics of chest pain in acute myocardial infarction patients. METHODOLOGY A total of 331 patients of AMI admitted at Cardiology unit Nishtar Hospital Multan and Chaudhry Pervez Elahi Institute of Cardiology Multan, irrespective of the age and gender, were included in this study. The study duration was one year starting from June 2011 to June 2012. Non-proba...

Previous studies have suggested that patients with acute myocardial infarction (AMI) who presented without chest pain had an unfavorable prognosis due to undertreatment. Despite this, few studies have been conducted on the topic, particularly in Japan. The present analysis aimed at determining whether Japanese AMI patients without chest pain are undertreated and experience higher mortality duri...

INTRODUCTION Coronary artery disease (CAD) is a persistent public health problem worldwide. Chest pain is one of the perceptible symptoms of the same disease. Literature has found acute chest pain as plausible risk factors for CAD. Nevertheless, none of the study has estimated duration from chronic chest pain to the diagnosis of CAD. The objective of the study was to estimate duration from chro...

We compared the incidence, nature and frequency of chest pain in a group of 45 ankylosing spondylitis patients with an age and sex matched group of normals. Twenty-five ankylosing spondylitis patients had experienced recurrent chest pain compared to three normals, and had a significantly reduced chest expansion. The presence of chest pain in ankylosing spondylitis can be an early presenting fea...

pneumonia is considered as the main cause of abdominal pain in children whereas it presents mostly by respiratory symptoms in adults. here we present a 71-year-old iranian female who complained specifically of abdominal pain on admission to our emergency department. we had found nothing as an etiology in our first evaluations. after several hours chest pain was added to the symptoms and the fol...

CONTEXT Although chest pain is widely considered a key symptom in the diagnosis of myocardial infarction (MI), not all patients with MI present with chest pain. The extent to which this phenomenon occurs is largely unknown. OBJECTIVES To determine the frequency with which patients with MI present without chest pain and to examine their subsequent management and outcome. DESIGN Prospective o...

Chest pain is a very common symptom; 20% to 40% of the general population will experience chest pain during their lives, and in theUK,up to 1%of visits to a general practitioner are because of chest pain. Approximately 700 000 visits (5%) to the emergency department in England and Wales and up to 25% of emergency hospital admissions are because of chest pain. There are many causes of chest pain...