Hypertrophic cardiomyopathy (HCM) is the most common genetic cardiovascular disease, which is caused by a multitude of mutations in genes encoding proteins of the cardiac sarcomere (1). Apical hypertrophic cardiomyopathy (AHCM) is an uncommon type of HCM. The sudden cardiac death is less likely to occur in the patients inflicted with AHCM (2). Herein, we presented the case of a 29-year-old man ...

BACKGROUND The aims of the study were to identify the characteristics of elderly frequent attenders to the emergency department (ED) presenting with chest pain and to assess the 1-year prognosis for developing adverse cardiac events. FINDINGS Patients over 75 years old, with four or more attendances to the ED between 1 January 2010 and 31 December 2010 with at least one attendance due to ches...

atrial dissociation is characterized by different types of p waves captured in an electrocardiogram, usually seen in critically ill or post-cardiac transplantation patients. our case demonstrates a 55-year-old man, presenting with chest pain (unstable angina) in the emergency department with transient double-p waves; representing the phenomenon. our case did not have any of the suggested causes...

Psychosocial factors of cardiovascular disease receive a preponderance of attention. Little attention is paid to psychosocial factors of pulmonary disease. This paper sought to describe psychosocial characteristics and to identify differences between cardiac and pulmonary patients entering a phase II rehabilitation program. Parametric and nonparametric analyses were conducted to examine scores ...

Seventeen patients with non-cardiac chest pain were investigated by simultaneous ambulatory 24 hour ECG and oesophageal pH monitoring. While 11 patients lowered their oesophageal pH below 4 for a significant percentage, (3.4%) of recorded time and experienced chest pain, no simultaneous ECG changes occurred. In 10 patients chest pain was reproduced by an oesophageal acid perfusion test (Bernste...

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 ...

BACKGROUND Chest pain is a common symptom for referring patients to emergency departments (ED). Among those referred, some are admitted to hospitals with a definite or tentative diagnosis of acute coronary syndrome and some are discharged with primary diagnosis of non-cardiac chest pain. This study aimed at investigating 30 days' adverse outcomes of patients discharged from ED of a major heart ...

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...

OBJECTIVE To evaluate the impact of a chest-pain guideline on clinical decision-making and medium-term outcomes of patients presenting to a hospital emergency department (ED) with non-traumatic chest pain. DESIGN Before-and-after guideline implementation study. SETTING Bankstown-Lidcombe Hospital, Sydney, NSW (454-bed metropolitan teaching hospital), in the six-month periods before and afte...

Chest pain is a very common symptom and can be of cardiac or non-cardiac origin. It accounts for approximately 5.5 million annual emergency room visits in the United States, according to 2011 CDC data. Penetrating atherosclerotic aortic ulcer (PAU), an uncommon condition, is also a potential cause of chest pain. We here report the case of a 65-year-old woman who presented with atypical chest an...