background: non-cardiac chest pain (nccp) presents as a frequent diagnostic challenge, with patients tending to use a disproportionate level of health care resources. gastroesophageal reflux disease (gerd) is the most frequent cause of nccp. thus the typical symptoms of reflux like heartburn and regurgitation, when present as predominant symptoms are quite specific for diagnosing gerd patients ...

BACKGROUND The use of aortic connectors for proximal saphenous vein bypass graft anastomoses eliminates the need for aortic clamping during coronary artery bypass grafting (CABG) and may reduce the incidence of stroke in the elderly and in patients with severe aortic atherosclerosis. METHODS AND RESULTS We studied 74 consecutive patients who received the Symmetry Bypass System aortic connecto...

We report the case of a 57-year-old male patient with severe low back pain during streptokinase infusion administered to treat typical chest pain and elevation of the ST segment in the inferior wall. We reviewed the literature, emphasizing the differential diagnosis, the pathophysiology, and management of the event.

A series of 456 episodes of spontaneous chest pain not considered by the primary medical attendant to be sufficiently severe or suggestive of coronary disease to warrant admission to hospital has been studied prospectively in an attempt to provide guidelines for diagnosis and management. A final diagnosis of acute myocardial infarction was made in 40 per cent, spontaneous (or unstable) angina i...

Campylobacter jejuni-associated myopericarditis (CAM) has been reported infrequently in the literature. We describe a case of immunocompetent young woman presenting with chest pain, with history of recent travel and diarrhea. Evaluation led to diagnosis of myopericarditis associated with this infection. The patient improved with conservative management. The pathogenesis of CAM remains unknown. ...

A 31-year-old patient complained of severe crushing chest pain that radiated to his left arm and jaw. After admission to the hospital, tests revealed a normal electrocardiogram, normal treadmill, normal coronary arteriogram, and normal cardiac enzymes. However, the patient continued to have pain, which was relieved by sublingual and intravenous nitroglycerine. He was discharged from the hospita...

Introduction. Acute myocardial infarction is life-threatening. A cardiac troponin rise accompanied by typical symptoms, ST elevation or depression is diagnostic of acute myocardial infarction. Here, we report an unusual case of a female who was admitted with chest pain. However, she did not present with a typical profile of an acute myocardial infarction patient. Case Presentation. A 66-year-ol...

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...

Cocaine use has been associated with cardiovascular complications such as coronary atherosclerosis, coronary artery spasm, cardiac arrhythmias, acute myocardial infarction, myocarditis, and dilated cardiomyopathies. Aortic dissection is a rare but life-threatening complication of cocaine use. Cocaine and stimulant use can cause aortic aneurysm by increasing the aortic wall stress, and the most ...