Ischaemic chest pain has been the hallmark of the clinical presentation of patients with acute coronary syndromes. New modalities for early diagnosis and treatment have been developed (for example, rapid troponin assays, glycoprotein IIb/IIIa receptor antagonists, anticoagulants, and facilitated percutaneous intervention), and cardiologists are now extending their reach to the emergency departm...

OBJECTIVES This study sought to compare the safety, diagnostic efficacy, and efficiency of multi-slice computed tomography (MSCT) with standard diagnostic evaluation of low-risk acute chest pain patients. BACKGROUND Over 1 million patients have emergency center evaluations for acute chest pain annually, at an estimated diagnostic cost of over $10 billion. Multi-slice computed tomography has a...

A 72-year-old man was admitted to the hospital for atypical chest pain lasting for 3 weeks, after having undergone coronary artery bypass graftsurgery 2 years before for unstable angina pectoris pursuant to 3 vessel disease (Figure 1). A dual-chamber pacemaker was implanted at that time due to postoperative second-degree atrioventricular block. The patient became symptomatic 1 week before this ...

Four patients with medically refractory unstable angina are presented. Each patient had ST-segment abnormalities during some episode of pain. Three patients had at least one episode of documented ST-segment elevation with their spontaneously occurring chest pain. One had recurrent ventricular tachycardia. Two patients had prior myocardial infarction. Angiography demonstrated localized left vent...

arrhythmogenic right ventricular dysplasia/cardiomyopathy (arvd/c) is a congenital cardiac disease with myocardial involvement, most probably right ventricular (rv) dysfunction, accounting for 20% of sudden cardiac deaths. characterized by the fibro-fatty infiltration of the rv free wall, arvd/c presents in adolescents with ventricular arrhythmias and heart failure symptoms and as biventricular...

This study assessed chest pain locations/symptoms among patients who presented with acute chest pain and how these compare with a clinical diagnosis of cardiac or noncardiac chest pain. A cluster analysis was undertaken to determine any pattern in the chest pain locations described by patients. Cluster analysis identified 4 distinct chest pain locations (upper chest, central retrosternal, centr...

Acute aortic syndromes consist of dissection, intramural hematoma, penetrating ulcer, and ruptured aneurysm. are considered a clinical emergency with patients presenting severe chest pain. MDCT is as the investigation choice to evaluate classify acute syndromes. Correct diagnosis prompt management imperative reduce mortality morbidity. Hence, imaging departments must have basic understanding th...

Aortic dissection occurs when a tear develops in the wall of the aorta, which is rare in the young population. This fatal disorder is hard to diagnose, especially in young patients. We present the case of aortic dissection in a 15-year-old boy referred to the Emergency Department of Yazd University of Medical Sciences in November 2015. The patient presented to our department with sudden acute c...

BACKGROUND Although many patients who experience chest pain or pressure consult their physicians, unfortunately a large number of them do not, and consequently they remain undiagnosed and untreated. Chest pain, in a subset of these patients, may be relieved with a bronchodilator or other asthma drugs. METHODS This retrospective study included twenty cases of chest pain that were relieved with...