QUESTIONS UNDER STUDY We assessed the occurrence and aetiology of chest pain in primary care practice. These features differ between primary and emergency care settings, where most previous studies have been performed. METHODS 59 GPs in western Switzerland recorded all consecutive cases presenting with chest pain. Clinical characteristics, laboratory tests and other investigations as well as ...

OBJECTIVES To measure the effectiveness and cost effectiveness of providing care in a chest pain observation unit compared with routine care for patients with acute, undifferentiated chest pain. DESIGN Cluster randomised controlled trial, with 442 days randomised to the chest pain observation unit or routine care, and cost effectiveness analysis from a health service costing perspective. SE...

Chest pain presents a diagnostic challenge in outpatient family medicine. Noncardiac causes are common, but it is important not to overlook serious conditions such as an acute coronary syndrome, pulmonary embolism, or pneumonia. In addition to a thorough history and physical examination, most patients should have a chest radiograph and an electrocardiogram. Patients with chest pain that is pred...

BACKGROUND Patients suffering from non-cardiac chest pain (NCCP) can interpret their chest pain wrongly despite having received a correct diagnosis. The objective of this study was to compare the efficacy of the relaxation method with metaphor therapy for reducing irrational beliefs and pain severity in patients with NCCP. METHODS Using a randomized controlled trial, 33 participants were rand...

BACKGROUND Diagnosing pacemaker lead perforation in the setting of chest pain and EKG changes is difficult and usually not considered unless we have awareness and high index of suspicion. This kind of clinical scenario represents one of the diagnostic challenges. CASE PRESENTATION A 77 year-old Caucasian female came to emergency room with left sided non-exertional chest pain radiating to her ...

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...

Objectives This case report presents the effects of Korean medical treatment in a patient with chest pain after percutaneous coronary intervention (PCI). Methods An 80-year-old woman was treated herbal medicine, acupuncture, and cupping therapy. Chest pain, sore tongue, headache were assessed daily using numeric rating scale (NRS). Results After 15 days treatment, disappeared, as reflected by a...

A study conducted to assess the effectiveness of cold application on Pain & Anxiety during Chest Tube Removal (CTR) among post operative cardiac surgery adult patients. Pre-test post-test control group experimental design was used. Post operative cardiac surgery adult patient of the selected hospital of Delhi were selected. The study sample was purposive sampling technique with random assignmen...

conclusions these findings strongly suggest the diagnosis of delayed post-infarction pericarditis, or dressler syndrome, a rare disease in the age of reperfusion therapy. although rare, it is a syndrome that must be considered in the differential diagnosis of chest pain. case presentation a 46-year-old male was admitted to the emergency department due to pleuritic chest pain. two weeks before t...

A case of progressive systemic sclerosis is reported. The patient presented with chest pain and an abnormal chest radiograph. Later developments included cardiac involvement with complete heart block. The heart block was successfully managed with an implanted pacemaker.