BACKGROUND Most people referred to rapid access chest pain clinics have non-cardiac chest pain, and in those diagnosed with stable coronary heart disease, guidance recommends that first-line treatment is usually medication rather than revascularisation. Consequently, many patients are not reassured they have the correct diagnosis or treatment. A previous trial reported that, in people with non-...

BACKGROUND/AIMS In patients with non-cardiac chest pain (NCCP), gastroesophageal reflux disease (GERD) is the commonest cause and ambulatory pH is of great value in identifying these patients. However, parameters in the context of predicting therapeutic response are still unknown. By extending the monitoring period, we could better evaluate the best evidence for GERD association. Our aims were ...

Cardiac hemangiomas are very rare benign cardiac tumors. They can presented at any age and clinical presentation varies according to location size. We reported the case of patient with left ventricular hemangioma,discovered during routine echocardiographyfor atypical chest pain. Surgical resection was successfully performed histology confirmed cavernoushemangioma.

Many patients visit the emergency department (ED) with a chief complaint of chest pain. These patients require rapid and efficient triage to decide whether they require hospitalization or can be discharged. It is important to allocate resources appropriately to the highest-risk patients who require timely life-saving therapy, and clinicians must be able to identify the cause of chest pain, espe...

Chest pain is an alarming complaint in children, leading an often frightened and concerned family to a pediatrician or emergency room and commonly to a subsequent referral to a pediatric cardiologist. Because of the well-known association of chest pain with significant cardiovascular disease and sudden death in adult patients, medical personnel commonly share heightened concerns over pediatric ...

The number of attendances and admissions of patients with chest pain to hospitals in England and Wales is increasing. Initial assessment may be unrewarding. Consequently, cardiac troponin has become the mainstay of investigation for non-ST-segment-elevation myocardial infarction and unstable angina, although only a small proportion of patients are eventually diagnosed as such. Current National ...

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...

When patients present with chest pain, clinical examination and patient history are fundamental to determine the probable cause of pain and the selection of appropriate tests to confirm clinical suspicions. In the case of myocardial ischemia due to coronary artery disease (CAD), the patient often but not always presents with the classical symptoms, chest tightness and left arm pain. However, ca...