Rapid access chest pain clinics (RACPC) enable clinical risk assessment, investigation and arrangement of a treatment plan for chest pain patients without a long waiting list. RACPC Clinicians often experience difficulties in the diagnosis of chest pain due to the inherent complexity of the clinical process and lack of comprehensive automated diagnostic tools. To date, various risk assessment m...

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...

BACKGROUND Non cardiac chest pain can be caused by esophageal problems such as gastroesophageal reflux or smooth muscle motor disorders. AIM To perform esophageal manometry in patients with non cardiac chest pain. MATERIAL AND METHODS One hundred patients with chest pain in whom coronary problems were discarded, were studied. A computerized esophageal manometry was performed in all and 24 h...

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 ...

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...

BACKGROUND An important number of patients with suspected cardiac chest pain have non-obstructive coronary artery disease. Our purpose was to describe the clinical characteristics of patients with normal or near-normal coronary arteries in routine cardiological practice in a secondary care hospital. METHODS In 2013, consecutive patients referred for invasive coronary angiography with suspecte...

The present study was carried out to evaluate the diagnostic usefulness of stationary esophageal manometry in 263 patients divided into three groups: 150 patients with reflux symptoms, 68 with dysphagia, and 45 with non-cardiac chest pain. Patients with endoscopic abnormalities were excluded. Standard manometry was performed following the station pull-through technique. In the group of patients...