OBJECTIVE To study various characteristics of chest pain in acute myocardial infarction patients. METHODOLOGY A total of 331 patients of AMI admitted at Cardiology unit Nishtar Hospital Multan and Chaudhry Pervez Elahi Institute of Cardiology Multan, irrespective of the age and gender, were included in this study. The study duration was one year starting from June 2011 to June 2012. Non-proba...

We report a patient who was admitted to the department of medicine with palpitation, dyspnea and left flank pain, Chest X-ray revealed a mass in the left lung. The lesion was evaluated as a pulmonary tumor, with a high suspicion of malignancy. Intravenous urography, sonography, and CTscanning revealed a thoracic kidney at the location previously thought to be a lung mass. This is the firs...

ebstein's anomaly is defined as the significant apical displacement of the tricuspid valve causing tricuspid regurgitation. although a variety of concomitant lesions have been previously described, we herein introduce an unusual presentation.  our patient was an 86-year-old man with a primary presentation of typical chest pain in the setting of recently diagnosed coronary artery disease with co...

To the Editor: A 46‐year‐old male, having a history of coronary artery disease, and coronary artery bypass graft surgery (CABG), was admitted to our clinic with sustained chest pain. He had a left internal mammary artery to the left anterior descending coronary artery, saphenous vein graft (SVG) to diagonal branch, and SVG to obtuse marginal artery. Up to 7 years after CABG, patient had no comp...

Thoracic outlet syndrome is the result of compression or irritation of neurovascular bundles as they pass from the lower cervical spine into the arm, via the axilla. If the pectoralis minor muscle is involved the patient may present with chest pain, along with pain and paraesthesia into the arm. These symptoms are also commonly seen in patients with chest pain of a cardiac origin. In this case,...

hydropneumothorax denotes concurrent presence of pneumothorax and hydrothorax in the pleural space, which can be a fatal situation. in this study, we presented the case of a 35-year-old male with history of progressive pleuritic chest pain 30 days before admission with idiopathic hydropneumothorax and spontaneous pneumomediastinum

When faced with a patient with acute chest pain, clinicians must distinguish myocardial infarction (MI) from all other causes of acute chest pain. If MI is suspected, current therapeutic practice includes deciding whether to administer thrombolysis or primary percutaneous transluminal coronary angioplasty and whether to admit patients to a coronary care unit. The former decision is based on ele...

An intrapericardial hernia resulting from an episode of blunt trauma six years prior to injury presented as acute intestinal obstruction accompanied by acute cardiac tamponade. This occurred three months following elective repair of a totally separate left diaphragmatic hernia. Both hernias were presumed to have resulted from the same traumatic incident, as both were devoid of hernial sacs. Thi...