Case Presentation Present Medical History A 67-year-old white man presented to Hermann Hospital upon referral from an Austin, Tex, physician for evaluation of recurrent chest pain. Eighteen months before admission the patient first noted episodes of chest discomfort, which he described as a left parasternal sensation of heaviness or tightness variably associated with moderate physical exertion....

An 84-year old African American male presents with increasing bilateral lower extremity edema as well as dyspnea on exertion and intermittent chest pain. His past medical history consists of hypertension, chronic back pain, benign prostate hypertrophy, dyslipidemia, atrial fibrillation, and chronic kidney disease with a baseline creatinine of about 1.6 mg/dl. Relevant medical history also inclu...

introduction: chest pain is a common problem in patients referring to emergency units. the present study was undertaken to evaluate the short-term outcome of patients presenting with a low risk chest pain and discharging without provoke ischemia study during emergency department admission. methods: in the present prospective cohort study, patients with low-risk chest pain, referring to the emer...

over the four decades, a significant decrease has been observed in age-related mortality caused by cardiovascular disease. people in developing countries suffer from cad at a relatively younger age and about half of mi occurs under the age of fifty years. abuse of anabolic steroids is one of the less common causes of atherosclerosis. in this report, a 23-year-old body builder male referred to e...

Extraskeletal Ewing Sarcoma is rarely reported. A fifteen-year-old girl presented with the right-sided pleuritic chest pain, shortness of breath, and productive cough whitish sputum associated poor oral intake. She subsequently underwent contrast-enhanced Computerized Tomography thorax, which showed lobulated heterogenous hypodensity occupying entrance right superior pulmonary vein, extending t...

a 40-year-old male patient presented to us with complaints of pain in abdomen for the past 2 weeks and fever for 3 days. the patient gave history of being previously operated for hydatid cyst of liver 15 years back. his chest radiograph and com-puted tomography scan revealed a cystic lesion in the right lobe of liver and a cyst in left lung. the patient was managed surgically. aspirate from the...

coronary-cameral fistulas (ccfs) constitute a rare anomaly that can be incidentally detected during angiography. ccfs are solitary, large or small assemblies that originate from coronary arteries and enter one of the cardiac chambers. we describe a 29-year-old woman, who referred to our clinic with the chief complaints of palpitation, atypical chest pain, and dyspnea on exertion (functional cla...

Distinguishing diaphragmatic eventration from rupture in the trauma setting can be a considerable challenge. We present a case involving a man suffering from chest pain and with a raised left hemidiaphragm on the chest radiograph after a motor vehicle injury. A review of the literature discusses the use of imaging modalities and subsequent surgical diagnostic procedures in the face of uncertainty.

A 48 year old man presented with cardiac tamponade six weeks after an apparently minor penetrating chest injury. Thoracotomy showed a haemopericardium with no actively bleeding vessel. Re-investigation eleven months later, prompted by persistent chest pain, showed the presence of a fistula between the second diagonal of the left anterior descending coronary artery and a cardiac vein.