OBJECTIVE Many patients who attend an emergency department (ED) with chest pain receive a diagnosis of non-cardiac chest pain (NCCP), and often suffer poor psychological outcomes and continued pain. This study assessed the role of illness representations in explaining psychological distress and continued chest pain in patients attending an ED. METHODS ED NCCP patients (N = 138) completed meas...

Background. Diagnosis of acute myocardial infarction (AMI) in pubertal patients is a diagnostic challenge, as individuals such young age usually do not have traditional risk factors for coronary heart disease (CHD) and, result, are at increased misdiagnosis. Objective. To describe clinical case AMI 16-yearold patient against the background complete well-being. Design and methods. A 16-year-old ...

Chest pain is common, and tends to be overinvestigated. Patients with normal coronary anatomy have a low mortality, but remain significantly incapacitated. We discuss ways of improving the management of such patients. An early diagnosis of a non-cardiac cause of pain should be made, ideally by the general practitioner, taking account of risk factors for cardiac as well as psychological disorder...

A 57-year old previously healthy male presented following an episode of sudden-onset central chest tightness and syncope whilst driving. There was no prior history of such episodes. Baseline observations, physical examination, electrocardiograph and chest radiograph were all normal. Cardiac biomarkers were negative and transthoracic echocardiography revealed a structurally and functionally norm...

INTRODUCTION Undifferentiated chest pain in the emergency department (ED) is a diagnostic challenge. One approach includes a dedicated chest computed tomography (CT) for pulmonary embolism or dissection followed by a cardiac stress test (TRAD). An alternative strategy is a coronary CT angiogram with concurrent chest CT (Triple Rule Out, TRO). The objective of this study was to describe the ED p...

atrial dissociation is characterized by different types of p waves captured in an electrocardiogram, usually seen in critically ill or post-cardiac transplantation patients. our case demonstrates a 55-year-old man, presenting with chest pain (unstable angina) in the emergency department with transient double-p waves; representing the phenomenon. our case did not have any of the suggested causes...

Chest pain is a very common symptom in an emergency context. Its differential diagnosis extensive and includes some conditions that require immediate recognition intervention. It can also be associated with rarer diagnostic possibilities. Here, we report the case of 53-year-old woman admitted to department due chest initially diagnosed non-ST elevation acute myocardial infarction. A transthorac...

Psychosocial factors of cardiovascular disease receive a preponderance of attention. Little attention is paid to psychosocial factors of pulmonary disease. This paper sought to describe psychosocial characteristics and to identify differences between cardiac and pulmonary patients entering a phase II rehabilitation program. Parametric and nonparametric analyses were conducted to examine scores ...

plaints in the acute care setting. Major causes of acute chest pain include cardiac, gastroesophageal, musculoskeletal, and pulmonary conditions. Because heart disease is the leading cause of death in the United States,1 it is important to diagnose a cardiac etiology in patients presenting with acute chest pain. In addition, noncardiac causes of chest pain may be serious. Conducting a thorough ...