We recommend Lin et al. (1) for their interesting article on a case of atypical pulmonary metastases from carcinosarcoma of the parotid gland, demonstrating the radiologic features of an air-space pattern and calcification. We concur with their study in considering this type of lesions a formidable diagnostic challenge in the patients with unknown extrapulmonary malignancies. We would like to l...

BACKGROUND Previous research suggests that the presentation of acute coronary syndromes (ACS) may differ in women and men. No study has prospectively evaluated the role of a comprehensive set of typical and atypical symptoms and whether different symptoms on presentation predict ACS diagnosis in women and men. METHODS AND RESULTS We directly observed 246 women and 276 men seen in the emergenc...

INTRODUCTION AND OBJECTIVES Although chest pain is a common presenting symptom in emergency departments, its clinical management is highly variable. Our aims were to describe the characteristics of patients with chest pain and to evaluate the usefulness of the CPU-65 index for risk stratification. The CPU-65 index awards one point for each of the following variables: Comorbid diabetes, typical ...

BACKGROUND AND OBJECTIVES A cardiologist's evaluation of psychiatric symptoms in patients with chest pain is rare. This study aimed to determine the psychiatric characteristics of patients with and without coronary artery disease (CAD) and explore their relationship with the intensity of chest pain. SUBJECTS AND METHODS Out of 139 consecutive patients referred to the cardiology outpatient dep...

Atypical and typical chest pains are common symptoms in patients with hypertrophic cardiomyopathy. Some of these chest pains seem to be caused by ischaemia. It is difficult to objectively demonstrate ischaemia in hypertrophic cardiomyopathy. The first line treatment for chest pain considered to be ischaemic in patients with hypertrophic cardiomyopathy is the use of either a beta blocker or calc...

BACKGROUND Saphenous venous graft (SVG) aneurysm is a very rare but potentially fatal complication of the coronary artery bypass surgery. CASE REPORT We reported a case of 72-year-old man admitted to hospital because of atypical chest pain related to body motions in horizontal position, especially to the left side. Pain was followed by dispnea, palpitations, fatigue, cough, yellow sputum expe...

Vascular involvement of pancreatic pseudocyst is a rare complication that can potentially result in fatal outcome. If there vascular involvement, the splenic artery most often involved; its rupture and massive bleeding into peritoneal cavity or retroperitoneal space lead to hypovolemic shock. We report on 66-year-old-male patient, who initially presented with atypical chest pain was diagnosed p...