background: aging has a growing trend in the world. the elderly experience a high incidence of hospitalization and coronary bypass surgery compared with other age groups, and pain is the most common complaint in these patients. this research was conducted to compare the effect of acupressure and cryotherapy on the pain of removing drain tube from the chest of the elderly who have undergone open...

Thirty five children with a primary complaint of chest pain were prospectively studied. The average age was 9.7 years for boys and 8. 9 years for girls 60% were male. The most frequently diagnosed cause was psychogenic (54.2%). Forty percent of the patients were classified as having idiopathic chest pain. Precordial pain was encountered in 2. 9%), along with costochondritis and mitral val...

introduction : although many protocols are available in the field of the prehospital medical care (pmc), there is still a notable gap between protocol based directions and applied clinical practice. this study measures the rate of protocol adherence in pmc provided for patients with chest pain and loss of consciousness (loc). method : in this cross-sectional study, 10 educated research assistan...

A 32 year old female patient presented to the cardiology clinic with an atypical chest pain. Her history revealed no other condition than Leopard syndrome which was diagnosed on her birth. On her coronary CT angiography, LMCA originated from the right coronary sinus and had a prepulmonic course. The purpose of this article is to present this patient with Leopard syndrome accompanied by left cor...

We present a female patient with atypical chest pain who was referred to our department for ischemia evaluation. Tc-MIBI myocardial perfusion scan with dipyridamole stress was performed. Sub-diaphragmatic activity in the hepatic tissue and then in the bowel loops caused severe overlap on the inferior wall even on consecutive delayed images. Dipyridamole stress was repeated for the patient with ...

Esophageal melanocytosis is a rare benign condition characterized by melanocytic proliferation in esophageal squamous epithelium and melanin deposition in the mucosa. Because of its uncommon nature, pathologists and gastroenterologists lack experience with this entity. We present a case of esophageal melanocytosis in a 66 years old male patient who presented with atypical chest pain and dysphag...

In a 62-year old male patient with seldon atypical chest pain at rest, independant or physical stress. ECG was completely normal without any sign of ischemia. Echocardiography revealed normal dimension of the left ventricle (EDD 4.6cm) with an ejection fraction of 56%, valves without signs of sclerosis or regurtation. No impairment of the anterior and inferior left ventricular wall, but signs o...

Coronary artery aneurysms are rare, with a prevalence that varies from 0.25% to 2.6% (1). A 35-year-old man without any medical history of cardiovascular disease was admitted with atypical chest pain. The first diagnostic hypothesis was pericarditis (2). On a routine transthoracic echocardiogram (TTE), a spherical cavity-like mass that appeared to be an abscess with a thick wall opposed to the ...

A 48-year-old man with dextrocardia presented with atypical chest pain for 2 hours. Right-side ECG showed convex upward ST elevations in leads V4 and V5. Coronary angiogram showed complete occlusion of mid portion of the left anterior descending artery (LAD). Several attempts at engaging the left main origin was successful and the LAD was opened with placement of a drug-eluting stent. The post-...

Multiple coronary artery-left ventricular fistulae involving all three major coronary arteries are extremely rare. Clinical findings are heterogeneous but include a history of typical or atypical angina pectoris in most cases. Coronary arteriography in a 65 year old woman who presented with chest pain at rest revealed multiple fine fistulae arising from the left anterior descending, left circum...