A30-year-old man complains of chest pain, dyspnea, fever, and nonproductive cough that began earlier in the day. The pain is constant and does not diminish with rest; it worsens somewhat with deep inspiration and has localized to the left chest. The patient has had no nausea, vomiting, or abdominal pain. He has been immobile for several years secondary to spinal cord disease but has no history ...

Background. Patients who have chest pain without electrocardiographic ST elevation are not candidates for thrombolytic therapy in most clinical trials. This study examined the value of technetium-99m-Sestamibi tomographic imaging to assess myocardial perfusion in patients during chest pain without ST elevation. Methods and Results. Tc-99m-Sestamibi was injected in 14 patients who had chest pain...

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...

A 46 year old woman presented with sudden onset severe, tight, central chest pain. She had stopped smoking 10 years previously, but there were no other cardiac risk factors. The ECG showed sinus rhythm with marked ST elevation over the anterior chest leads, and she received intravenous tPA within two hours of symptom onset. Despite thrombolysis, diamorphine, and intravenous â blockade, the pain...

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...

An 83 year old woman presented to the emergency department with chest pain and dyspnoea. Chest radiography showed pneumothorax of the left lung. Arteries were normal on coronary angiography. Left ventriculography showed asynergy of apical akinesis and basal hyperkinesis. Within 18 days, the asynergy improved without any specific treatment. In the present case the left ventricular dysfunction ma...

BACKGROUND Absence of the left circumflex artery (LCX) is an extremely rare congenital anomaly of the coronary circulation. While some coronary circulation anomalies are associated with significant complications, including sudden cardiac death and premature atherosclerosis, absence of the LCX is largely considered benign, though it has been associated with exertional chest pain, which may mimic...

The aim of this paper is to report an exceptional case of multiple internal exostoses of the ribs in a young patient affected by multiple hereditary exostoses (MHE) coming to our observation for chest pain as the only symptom of an intra-thoracic localization. A 16 years old patient with familiar history of MHE came to our observation complaining a left-sided chest pain. This pain had increased...

A young woman presented with left sided chest pain. Chest radiography revealed a hyperexpanded left upper lobe and the rare diagnosis of congenital lobar emphysema was made. She was then found to be pregnant. Thoracotomy and left upper lobectomy were performed during the pregnancy without adverse effects to the mother or fetus. The implications of pregnancy on the surgical management of this ra...

thirty five children with a primary complaint of chest pain were prospectively studied. the average age was 9.7 years for boys and 8. 9 years for girls 60% were male. the most frequently diagnosed cause was psychogenic (54.2%). forty percent of the patients were classified as having idiopathic chest pain. precordial pain was encountered in 2. 9%), along with costochondritis and mitral valve pro...