BACKGROUND Chest pain is a frequent chief complaint among the pediatric population. To date, limited data exist on the full spectrum of emergent cardiac disease among such patients; and existing data have been limited to relatively small cohorts. OBJECTIVES The aims of the study were to investigate the emergent cardiac etiologies of chest pain in a large cohort of patients presenting to a ter...

The ability to reproduce chest pain and to identify the esophagus as the source of this pain are the major reasons why provocation testing has become standard in the evaluation of patients with noncardiac chest pain. Recent studies that challenge the validity of performing provocation tests have polarized experts into two camps: those who would abandon such testing because of its low sensitivit...

OBJECTIVE Chest pain in children and adolescents is rarely associated with cardiac disease. We sought to examine psychological symptoms in youngsters with medically unexplained chest pain. We hypothesized that children and adolescents with medically unexplained chest pain would have high rates of anxiety and depressive symptoms. METHODS We assessed 65 youngsters with noncardiac chest pain (NC...

BACKGROUND The aim of this study was to assess the frequency of chest pain presentations and the subsequent non-cardiac chest pain diagnoses in an emergency department (ED) over a 3 year period. METHODS Administrative data on ED attendances to an urban general hospital in Northern Ireland between March 2013 and March 2016 were used. Data were coded and analysed to estimate frequencies of 'che...

CONTEXT The chest pain history, physical examination, determination of coronary artery disease (CAD) risk factors, and the initial electrocardiogram compose the information immediately available to clinicians to help determine the probability of acute myocardial infarction (AMI) or acute coronary syndrome (ACS) in patients with chest pain. However, conflicting data exist about the usefulness of...

OBJECTIVES The relation between chest pain and coronary atherosclerosis (CA) in patients with inflammatory joint diseases (IJD) has not been explored previously. Our aim was to evaluate the associations of the presence of chest pain and the predicted 10-year risk of cardiovascular disease (CVD) by use of several CVD risk algorithms, with CA verified by multidetector computed tomography (MDCT) c...

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...

PURPOSE ST-elevation myocardial infarction (STEMI) patients may visit the emergency department (ED) complaining of sensations of pain other than the chest. We investigated our performance of reperfusion therapy for STEMI patients presenting with non-chest pains. MATERIALS AND METHODS This was a retrospective observational cohort study. STEMI patients who underwent primary percutaneous coronar...

introduction: catamenial pneumothorax is a rare disease caused by presence of endometrial tissues in chest cavity  showing itself with pneumothorax 24 to 48 hours after  the beginning of menstrual period .  a case of catamenial pneumothorax is presented here. case presentation: the case was a 17-year-old young woman admitted to hospital with symptoms and signs including chest pain, dyspnea, tac...

Mark: This is a prospective, observational study to determine if negative electrocardiography (ECG) performed while the patient is having chest pain can reliably rule out coronary disease. Eligible participants presented to the emergency department with chest pain and had normal initial ECG. Eligibility criteria also included age older than 25 years, two negative troponins over six hours, and a...