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...

OBJECTIVE To determine the feasibility, safety and effectiveness of a structured clinical pathway for stratification and management of patients presenting with chest pain and classified as having intermediate risk of adverse cardiac outcomes in the subsequent six months. DESIGN Prospective clinical audit. PARTICIPANTS AND SETTING 630 consecutive patients who presented to the emergency depar...

INTRODUCTION The mean platelet volume (MPV) is an easily measurable parameter directly correlated with platelet aggregation function, proven to be increased in acute coronary syndromes, but also in the presence of cardiovascular risk factors such as the metabolic syndrome, dyslipidemia, diabetes mellitus, arterial hypertension. OBJECTIVE This study intended to assess the role of the metabolic...

Analysis of the association between symptoms and abnormal oesophageal function is a central part of 24 hour oesophageal pressure and pH recording in patients with non-cardiac chest pain. Such studies have used different time windows including a period after the onset of pain. Since stress and pain can induce oesophageal motor abnormalities and transient lower oesophageal sphincter relaxations, ...

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...

February 2007 | Volume 4 | Issue 2 | e12 Chest pain may be associated with coronary arteries that appear “normal.” Normal is defi ned here as no visible disease or luminal irregularities (less than 50%) as judged visually at coronary angiography. Normal angiography in patients with chest pain is fi ve times more common in women than in men [1]. Among patients with chest pain and normal angiogra...