We report a 38-year-old man with previous Kawasaki disease who presented with exertional dyspnoea and was found to have multivessel coronary aneurysm and stenoses on coronary angiography. Coronary artery bypass surgery was subsequently performed. This case highlights the angiographic and intravascular ultrasonographic imaging features of this relatively uncommon condition presenting to an adult...

A 35-year-old non-smoking male presented with exertional breathlessness of 14 days duration. There was no history of cough or fever. A month earlier he took treatment for an acute abdomen. He had a history of alcohol consumption regularly for atleast 15 years until one year back. Respiratory system examination showed features of a massive pleural effusion on left side. Abdomen was mildly disten...

BACKGROUND There is little data about the additive effects of ischemia-modified albumin (IMA) on the exercise stress test (EST) used for the screening of ischemic heart disease. The relationship between myocardial ischemic burden and the change in IMA (DeltaIMA) during EST was investigated. METHODS AND RESULTS EST was performed using the Bruce protocol to evaluate chest pain or exertional dys...

1. What is the radiological diagnosis? 2. What is the differential diagnosis? 3. What is the most probable final diagnosis in this patient? 4. What are the radiological features of this condition? A 59-year-old male, a reformed smoker, presented with complaints of exertional breathlessness, dry cough and easy fatigability for 7–8 years. He had no other comorbidities. His physical examination wa...

This symposium focuses on exertional heatstroke, with emphasis on predisposing factors, clinical observations, diagnosis, treatment and recovery. The serious challenge to cardiovascular stability presented by exercise hyperthermia and some aspects of regulatory failure was reviewed in the introduction. The intent of this review, to understand how heat stress is translated into heat strain at th...

BACKGROUND Although exertional leg pain is a hallmark of peripheral arterial disease (PAD) and can occur in persons without PAD, symptom variation has received inadequate attention. METHODS AND RESULTS Three cohort studies were combined for cross-sectional analysis. The San Diego Claudication Questionnaire assessed exertional leg pain. PAD was defined as ankle brachial index (ABI) < or =0.90 ...

Acute exertional compartment syndrome of the superficial posterior compartment of the leg secondary to minor soft tissue injury is rare. This case series highlights the risk of misdiagnosis as deep venous thrombosis, followed by inadvertent anticoagulation. The delay in management did fortunately not lead to catastrophic consequences. Clinicians must not dismiss the possibility of an acute exer...

OBJECTIVE To present recommendations for the prevention and screening, recognition, and treatment of the most common conditions resulting in sudden death in organized sports. BACKGROUND Cardiac conditions, head injuries, neck injuries, exertional heat stroke, exertional sickling, asthma, and other factors (eg, lightning, diabetes) are the most common causes of death in athletes. RECOMMENDAT...