The main aim of this study was to examine the relationship of emotional instability with illness worry and perceived limitations due to chest pain, and investigate to what degree any associations are mediated by the following chest pain-related coping styles: acceptance, seeking emotional support, seeking instrumental support, and avoidance. Self-reported measures from 94 participants with non-...

BACKGROUND Panic disorder (PD) is highly prevalent in patients with non-cardiac chest pain (NCCP). This study aims to explore the role of psychological factors (PD intensity, anxiety sensitivity, heart-related fear, attention and avoidance) common to NCCP and PD in predicting chest pain levels in patients with both conditions. METHODS This association was investigated in emergency department ...

OBJECTIVE Chest pain in children and adolescents is a frequent cause for office or emergency department visits. However, it is unclear whether myocardial infarction occurs in children with no anatomic abnormality presenting with chest pain. METHODS Clinical history, electrocardiography, echocardiography, and cardiac enzyme levels were evaluated in patients presenting to the emergency departme...

BACKGROUND Diagnosis of cardiac ischaemia in patients attending emergency departments (ED) with symptoms of acute coronary syndromes is often difficult. Cardiac troponin (cTn) is sensitive and specific for the detection of myocardial damage but may not rise during reversible myocardial ischaemia. Ischemia Modified Albumin (IMA) has recently been shown to be a sensitive and early biochemical mar...

BACKGROUND Approximately 5% of patients with an acute coronary syndrome are discharged from the emergency room with an erroneous diagnosis of non-cardiac chest pain. Highly accurate non-invasive stress imaging is valuable for assessment of low-risk chest pain patients to prevent these errors. Adenosine stress cardiovascular magnetic resonance (AS-CMR) is an imaging modality with increasing appl...

This article aims to provide a concise, structured approach to the child with chest pain. Chest pain is a common presenting symptom in children but, unlike in adults, the cause is rarely cardiac. We review the main causes of chest pain in children and discuss the important features that may alert those assessing paediatric chest pain to serious underlying pathology. In the vast majority of case...

OBJECTIVE To determine the proportion of children referred to pediatric cardiology clinic for chest pain diagnosed with a cardiac cause for the pain. DESIGN Medical records of patients evaluated for chest pain at the University of Wisconsin Children's Hospital from 2004 to 2006 were reviewed, including the studies performed and final diagnosis. RESULTS A total of 135 patients, including 78 ...

The objective of the study was to identify clinical characteristics that enable non-cardiac chest pain to be differentiated from coronary artery disease. An observational case-control study was carried out in 40 patients with non-cardiac chest pain and a control group of 40 patients with coronary artery disease. Sociodemographic, medical and psychological variables were assessed. There was no d...