This study assessed chest pain locations/symptoms among patients who presented with acute chest pain and how these compare with a clinical diagnosis of cardiac or noncardiac chest pain. A cluster analysis was undertaken to determine any pattern in the chest pain locations described by patients. Cluster analysis identified 4 distinct chest pain locations (upper chest, central retrosternal, centr...

acute myocardial infarction is the most important reason of mortality in iran. more than half of these deaths occur without the patient even reaching to a hospital. there is the evidence that patients with better knowledge of the symptoms of mi will seek help earlier. the purpose of this study is to determine how well a predictive model will perform based solely upon patient-reportable clinical...

the acute coronary syndrome due to the left main coronary artery (lmca) thrombosis is a clinically rare and catastrophic event.   we describe a young man ( smoker, alcoholic, and drug abuser) with a history of recent surgery and typical chest pain who had non-occlusive lmca thrombosis in coronary angiography. the thrombosis was successfully treated with two 180 µ/kg intracoronary boluses of ept...

Echocardiography is a non-invasive diagnostic technique which provides information regarding cardiac function and hemodynamics. It is the most frequently used cardiovascular diagnostic test after electrocardiography and chest X-ray. However, in a patient with acute chest pain, Transthoracic Echocardiography is essential both for diagnosing acute coronary syndrome, zeroing on the evaluation of v...

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...

OBJECTIVE To explore the diagnostic procedure of acute fatal chest pain in emergency department (ED) in order to decrease the misdiagnosis rate and shorten the definite time to diagnosis. The ultimate aim is to rescue the patients timely and effectively. METHODS Three hundreds and two patients (56.9 ± 11.8 Years, 72% men) complained with acute chest pain and chest distress presenting to our E...

BACKGROUND Patients with acute chest pain are often referred to the emergency ward and extensively investigated. Investigations are costly and could induce unnecessary complications, especially with invasive diagnostics. Nevertheless, chest pain patients have high mortalities. Fast identification of high-risk patients is crucial. Therefore several strategies have been developed including specif...