OBJECTIVES The recent National Service Framework for coronary heart disease advocates the establishment of rapid assessment clinics for chest pain. But how should these clinics be organised and do they fulfil their objectives? The aim of this study was to compare referral patterns to a daily and a weekly "one stop" rapid access chest pain clinic (RACPC), and to examine clinical outcome in patie...

The two main goals of chest pain units are the early, accurate diagnosis of acute coronary syndromes and the rapid, efficient recognition of low-risk patients who do not need hospital admission. Many clinical, practical, and economic reasons support the establishment of such units. Patients with chest pain account for a substantial proportion of emergency room turnover and their care is still f...

BACKGROUND Acute chest pain is a common symptom among patients presenting to emergency wards. Identification and admission of patients with real acute coronary syndrome and preventing the hospitalization of people with false diagnosis of coronary syndrome are the most important tasks in emergency wards. The purpose of this study was to investigate the usefulness of designing a special chest pai...

Coronary computed tomographic angiography can detect nonobstructive atherosclerotic lesions that would not otherwise have been detected with functional cardiac imaging. Currently, limited data exist regarding the clinical significance of these lesions in patients with acute chest pain. The aim of our study was to examine the prognostic significance of these nonobstructive findings in a patient ...

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...

introduction: it has been reported that atypical chest pain could have some relationship with panic disorders, anxiety and some other psychological problems. the present case control study is performed to evaluate general health state of patients with atypical chest pain and to study the most usual accompanying symptoms. methods: patients with less than 35 years old were included in the study. ...

BACKGROUND Myeloperoxidase (MPO) is a highly expressed enzyme due to leukocyte activation, with multiple atherogenic actions, including LDL cholesterol oxidation, and is related to the instability of atherosclerotic plaque. It is a predictor of adverse events in healthy individuals, patients with heart disease or those undergoing chest pain investigations. OBJECTIVE To analyze the contributio...

OBJECTIVE To assess safety, feasibility, and the results of early exercise testing in patients with chest pain admitted to the emergency room of the chest pain unit, in whom acute myocardial infarction and high-risk unstable angina had been ruled out. METHODS A study including 1060 consecutive patients with chest pain admitted to the emergency room of the chest pain unit was carried out. Of t...

UNLABELLED Coronary computed tomographic angiography (CCTA) has been widely available since 2004. After that, the diagnostic accuracy of CCTA has been extensively validated with invasive coronary angiography for detection of coronary arterial stenosis. In this paper, we reviewed the updated evidence of the role of CCTA in both scenarios including acute chest pain and screening in asymptomatic a...