most of the patients imagine that chest pain is not sign of heart attack. but, may be pain is not sign of heart attack. pain source may be from pulmonary, stomach, intestinal, psychologic or musculoskeletal problems. from these factors, when two or more factors combine to each other, similar signs are happen. all of these factors harden diagnosis of chest pain reason. only with separation of pe...

background:   athletes present a different category of the population. trivial complaints may mask more serious illness, especially when the athlete is undergoing intensive training, and the function of his immune system may be sub-optimal . case presentation:   a triathlete presented a few days after completing an ironman race, complaining of lethargy, pleuritic chest pain and loss of appetite...

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...

A 38-year-old woman presented with 2 days history of left-flank pain. She had similar episodes of abdominal pain as well as chest pain several times, but symptoms disappeared spontaneously. Each time she developed pain, there was no fever. After ruling out common causes of recurrent abdominal pain, familial Mediterranean fever (FMF) was considered as a potential diagnosis. Genetic tests reveale...

background physical and psychological factors affect one another in patients presenting with non-cardiac chest pain. studying the psychological components of these patients may improve their treatment process. objectives to compare depression, anxiety, and stress severity between mild and severe chest pain in patients with non-cardiac chest pain. patients and methods a cross-sectional design wa...

background: chest tube removal is a painful procedure. the goal of this study was to evaluate the effect of cold application incombination with indomethacin suppository on chest tube removal pain in patients undergoing open heart surgery. materials and methods: this single-blind, double-group clinical trial was performed on 66 patients aged 18-68 years with thechest tube in pleural space. the i...

AIM To evaluate the impact on the clinical service of incorporating cardiac troponin T (cTnT) measurement into the existing chest pain care pathway in our district general hospital. METHODS We randomised 200 consecutive patients admitted with acute chest pain, but without ST elevation on ECG, either to our existing chest pain care pathway (pathway 1) or to a new pathway incorporating semi-qua...

Emergency medicine dogma traditionally teaches that aortic dissection presents as tearing chest pain, radiating to the back. This case report describes a 55-year-old woman presenting with a left homonymous hemianopsia and resultant gait disturbance. Initial head computed tomography demonstrated a right parietal infarct, and chest radiograph demonstrated a markedly widened mediastinum. Acute Sta...