A young male was admitted with diagnosis of Covid-19 SARS infection and having fever, cough & non-cardiac chest pain. There no past history cardiac symptoms physical examination unremarkable. His vitals were stable. ECG showed ST elevation Tall but notched T wave in V3 depression inferior lateral leads. Carefully looking these manifestations, they seem the artifacts based on their features ...

Chest pain is a common presenting symptom. Identifying patients with underlying coronary artery disease (CAD) is challenging 1. Across Northern Ireland, Exercise Stress Testing (EST) is the commonest first line investigation at chest pain clinics. EST has a 45-50% sensitivity for predicting CAD. 1 One third of patients diagnosed with non-cardiac chest pain develop ACS or die from IHD within 5 y...

The focus of this article is to explore chest pain in children and adolescents. Common causes of chest pain and the approach to its evaluation are reviewed. Special emphasis is given to the cardiac causes of pediatric chest pain and how it can be differentiated from more common benign etiologies.

The experience of cardiac chest pain is always traumatic and stressful for patients. The available literature suggests that although nurses place a lot of importance on cardiac patients being pain free, it is apparent this is often not achieved. Research and documented case studies suggest that relaxation can play an important role in the treatment and prevention of this distressing symptom (Ti...

Thoracic outlet syndrome is the result of compression or irritation of neurovascular bundles as they pass from the lower cervical spine into the arm, via the axilla. If the pectoralis minor muscle is involved the patient may present with chest pain, along with pain and paraesthesia into the arm. These symptoms are also commonly seen in patients with chest pain of a cardiac origin. In this case,...

INTRODUCTION We use clinical, ECG, and biochemical data to stratify risk in patients with chest pain without ST segment elevation. However, the prognostic performance of these studies in relation to time from onset of symptoms is unknown. PATIENTS AND METHOD In a single-center, prospective study, 321 consecutive patients who had been admitted in the emergency room with a suspected acute coron...

Acute chest pain is a challenging clinical problem, commonly encountered in emergency departments. Appropriate management and treatment of acute chest pain requires a careful assessment of patients to predict the probability of acute coronary syndrome (ACS) and initiate immediate treatment. Generally low-risk patients with negative serial electrocardiograms and cardiac injury markers have to un...

Hypertrophic cardiomyopathy (HCM) is a condition of genetic mutation in the cardiac sarcomere that defined by hypertrophy, non-dilated left ventricle, and normal or increased ejection fraction. It presents with heterogeneous clinical picture which continues to challenge clinicians diagnose it clinically. Cardiac magnetic resonance (CMR) - non-invasive imaging technique an essential diagnostic t...

Objectives: One of the most common reasons for admission to emergency department is chest pain. The clinical presentation pain quite wide. study aimed compare diagnoses patients under and/or over age 65 admitted with non-traumatic pain.Methods: A thousand between 15.10.2014 and 15.07. 2015 were included in study. Patients divided into two groups according group as < years old ≥ old. Age,...

PURPOSE To compare standard of care nuclear SPECT imaging with cardiac magnetic resonance imaging (MRI) for emergency room (ER) patients with chest pain and intermediate probability for coronary artery disease. MATERIALS AND METHODS Thirty-one patients with chest pain, negative electrocardiogram (ECG), and negative cardiac enzymes who underwent cardiac single photon emission tomography (SPECT...