plaints in the acute care setting. Major causes of acute chest pain include cardiac, gastroesophageal, musculoskeletal, and pulmonary conditions. Because heart disease is the leading cause of death in the United States,1 it is important to diagnose a cardiac etiology in patients presenting with acute chest pain. In addition, noncardiac causes of chest pain may be serious. Conducting a thorough ...

Acute chest pain is a leading cause of Emergency Department visits. Computed tomography angiography plays a vital diagnostic role in such cases, but there are several common challenges associated with the imaging of acute chest pain, which, if unrecognized, can lead to an inconclusive or incorrect diagnosis. These imaging challenges fall broadly into 3 categories: (1) image acquisition, (2) ima...

background: myocardial infarction is the major cause of morbidity and mortality in industrialized countries. platelet count and the mean platelet volume (mpv), a simple and reliable indicator of platelet size which correlates with platelet activation, might associate with troponin in acute chest pain. methods: we analyzed mpv of 851 patients who were admitted to rasoul-e-akram hospital with acu...

spontaneous coronary artery dissection (scad) is a rare and important cause of acute coronary syndrome and sudden cardiac death. various etiologies are thought to be responsible for this condition, among which underlying atherosclerosis seems to be the most common. scad is predominant in women and is usually diagnosed via coronary artery angiography. therapeutic interventions include medical th...

BACKGROUND Chest pain is a common clinical syndrome. However, there is a paucity of African studies describing the causes, prevalence, aetiology, and disposition of patients with chest pain presenting in the emergency department (ED). AIM The aim of this retrospective descriptive study was to determine the prevalence, causes, demographics, and disposition of all adult patients with the main c...

results the data showed that vital signs and physical examination findings are useful screening parameters for predicting chest radiograph findings in outpatient settings. therefore, by implementing a prediction rule, we would be able to determine which patients would benefit from a chest x-ray (sensitivity, 94% and specificity, 57%). conclusion this study's findings suggest that requesting che...

introduction: chest pain is a common compliant in children and adolescents visiting the clinic. we assess and analyze the etiology of chest pain among children referred a pediatric cardiology clinic in cardiac center in south west of iran.materials and methods: we assessed children with chest pain who visited our medical center during march 2013 to april 2014. any case of trauma associated ches...

The presentation of retrosternal chest pain with normal electrocardiogram (ECG) during chest pain followed by initial presentation of acute pancreatitis can lead to a dilemma in managing such a patient, and whether to thrombolyse such a patient is a real controversy. We hereby present a similar case who was diagnosed to be having acute pancreatitis on admission, on clinical grounds, confirmed b...

Much of the focus of research on patients with chest pain is directed at technological advances in the diagnosis and management of acute coronary syndrome (ACS), pulmonary embolism (PE), and acute aortic dissection (AAD), despite there being no significant difference at 4 years as regards mortality, ongoing chest pain, and quality of life between patients presenting to the emergency department ...

Pulmonary artery dissection is a fatal complication of long-standing pulmonary hypertension, manifesting as acute, stabbing chest pain, progressive dyspnea, cardiogenic shock, or sudden death. Its incidence has been underestimated, and therapeutic options are still scarce. In patients with pulmonary hypertension, new chest pain, acute chest pain, or cardiogenic shock should raise the suspicion ...