Man With Chest Tightness

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Chest “Tightness” in an Elderly Woman

A 76-year-old woman presents with chest pain—which she describes as “muscle tightness”that began when she awoke in the morning. The pain is constant, exacerbated by deep inspiration, and accompanied by a subjective sense of slight dyspnea; she rates its severity as 3 on a scale of 1 to 10. She denies pain radiation, nausea, diaphoresis, palpitations, and light-headedness. Her only cardiac risk ...

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A young man with chest pain.

A man in his early 20s was admitted to the medical department of the local hospital because of almost two days of chest pain. The pain started in the centre of his chest and gradually moved over to the left. It was exacerbated by deep inhalation and lying on his left side. The patient had no other symptoms. Two weeks prior to admission he had had similar chest pain that had ceased spontaneously...

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A Fistula between Coronary and Main Pulmonary Arteries with Chest Tightness

A 64-year-old woman presented to our facility with recurrent chest tightness. Angiography showed a dilated (10 mm) aneurysmal tortuous coronary artery fistula (CAF) to the main pulmonary arterial trunk occupying a large area of the anterior surface of the aortic root. Left and right heart catheterization showed high left-to-right shunt flow. Fissurectomy and coronary artery bypass grafting were...

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A 33-year-old man with atypical chest pain

CLINICAL INTRODUCTION A 33-year-old man with no history of coronary artery disease presented to the rapid access cardiology clinic with an episode of atypical anginal chest pain. He had a 15 pack-year history of smoking and a family history of myocardial infarction under the age of 55. Physical examination and exercise ECG testing were unremarkable. On assessment in the cardiology clinic, blood...

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Bradycardia in a Man With Acute Chest Pain

Blood pressure is 80/60 mm Hg; heart rate, 50 beats per minute; and respiration rate, 26 breaths per minute. Oxygen saturation is normal, and the lung fields are clear. An ECG rhythm strip in lead II (A) shows a regular narrow QRS-complex rhythm; in addition, in this rhythm strip, the ST segment is elevated with a concave morphology. The patient is given a normal saline bolus and 1 mg of atropi...

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ژورنال

عنوان ژورنال: Annals of Emergency Medicine

سال: 2019

ISSN: 0196-0644

DOI: 10.1016/j.annemergmed.2019.02.021