AIMS AND OBJECTIVES To examine patients' perceptions and experiences of noncardiac chest pain, within the framework of the common sense model. BACKGROUND Patients with noncardiac chest pain have good physical prognosis, but frequently suffer prolonged pain and psychological distress. The common sense model may provide a good framework for examining outcomes in patients with noncardiac chest p...

OBJECTIVE To investigate whether patients with angina-like chest pain and normal coronary angiograms are more sensitive to adenosine as an inducer of chest pain. DESIGN Increasing doses of adenosine were given in a single blind study as intravenous bolus injections. Chest pain and the electrocardiographic findings were noted. PATIENTS Eight patients with angina-like chest pain but no corona...

background: primary intra cardiac tumors are rare. in this article, we present papillary fibroelastoma of mitral valve chordae. case presentation: a 35-year old man presented with atypical chest pain and palpitation. physical examination and electrocardiogram were normal. transesophageal echocardiography (tee) revealed a mass of 1015 mm attached to chordae of anteromedial papillary muscle of m...

BACKGROUND Despite providing insufficient medical evidence of the existence of a real cardiac condition, patients with non-coronary chest pain still interpret their pain incorrectly. The present study, therefore, sought to compare the irrational beliefs in non-coronary patients with mild chest pain against those with severe chest pain. METHODS A cross-sectional design was used. The statistica...

OBJECTIVES To determine predictors associated with positive chest x-ray finding in patients presenting with non-traumatic chest pain in the Emergency Department (ED). METHODS Health records, including the final radiology reports of all patients who presented with non-traumatic chest pain and had a chest x-ray performed in an urban Canadian tertiary care ED over four consecutive months were re...

BACKGROUND Spinal signs found in association with atypical chest and abdominal pain may suggest the pain is referred from the thoracic spine. However, the prevalence of such signs in these conditions has rarely been compared with that in those without pain. In this study, the prevalence of spinal signs and dysfunction in patients with back, chest and abdominal pain is compared with that in pain...

Objective: Acute chest pain is an important and frequently occurring symptom in patients. Chest pain is often a sign of ischemic heart disease. Chest pain due to suspected Acute Coronary Syndrome (ACS) is responsible for a large and ijncreasing number of hospital attendances and admissions. Current practice for suspected ACS involves troponin testing 10–12 hours after symptom o...

Much of the focus of research on patients with chest pain is directed at technological advances in the diagnosis and management of acute coronary syndrome (ACS), pulmonary embolism (PE), and acute aortic dissection (AAD), despite there being no significant difference at 4 years as regards mortality, ongoing chest pain, and quality of life between patients presenting to the emergency department ...

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 ...