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...

thirty five children with a primary complaint of chest pain were prospectively studied. the average age was 9.7 years for boys and 8. 9 years for girls 60% were male. the most frequently diagnosed cause was psychogenic (54.2%). forty percent of the patients were classified as having idiopathic chest pain. precordial pain was encountered in 2. 9%), along with costochondritis and mitral valve pro...

Acute aortic syndromes consist of dissection, intramural hematoma, penetrating ulcer, and ruptured aneurysm. are considered a clinical emergency with patients presenting severe chest pain. MDCT is as the investigation choice to evaluate classify acute syndromes. Correct diagnosis prompt management imperative reduce mortality morbidity. Hence, imaging departments must have basic understanding th...

Background: We sought to identify the most predictive symptoms of coronary heart disease (CHD) in the setting of a very busy community primary care clinic. By examining the variability, distribution and frequency of symptoms singly and in combination we hoped to streamline the process of correctly identifying a patient presenting with CHD. Methods: All 449 patients suspected of having CHD by on...

BACKGROUND The epidemiology of chest pain differs strongly between outpatient and emergency settings. In general practice, the most frequent cause is the chest wall pain. However, there is a lack of information about the characteristics of this syndrome. The aims of the study are to describe the clinical aspects of chest wall syndrome (CWS). METHODS Prospective, observational, cohort study of...

After holidaying in Vanuatu, a 24-year-old man presented with pleuritic chest pain and chest wall tenderness thought to be musculoskeletal in origin. He developed fatal acute renal failure, jaundice, respiratory failure, myocarditis and rhabdomyolysis. Subsequent serological results showed a rise in serum titre of antibodies to Leptospira grippotyphosa, from 1 : 50 to 1 : 800, consistent with a...

OBJECTIVES To determine whether providing an information sheet to patients with acute chest pain reduces anxiety, improves health related quality of life, improves satisfaction with care, or alters subsequent symptoms or actions. DESIGN Single centre, non-blinded, randomised controlled trial. SETTING Chest pain unit of an emergency department. PARTICIPANTS 700 consecutive patients with ac...