in any patient with a history of penetrating thoracic trauma, cardiac injury must be kept in mind. here, we describe a 36 years-old female referred to this hospital with severe chest pain and hypotension. after primary evaluation and suggestion of ami, streptokinase was started for the patient and because of deterioration of vital signs, cardiac surgery consultation was requested. after perform...

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...

introduction: psychological symptoms of non-cardiac chest pain (nccp) including perceptual, emotional, and behavioral problems can effect patient perception of chest pain. this study was conducted to determine the effect of metaphor therapy on mitigating depression, anxiety, stress, and pain discomfort in patients with nccp. materials and methods: this randomized, controlled, trial was conducte...

Pericarditis, usually viral in origin, is an infrequent cause of chest pain. Pericarditis due to drug allergy is even less frequent and is thus rarely considered in the differential diagnosis. A case is reported of a woman who presented with severe chest pain, caused by minocycline induced pericarditis. Such allergy may be more common than reported. It is suggested that drug induced pericarditi...

After developing sudden severe chest pain, an 11-year-old boy presented to the emergency room with chest pain and palpitations and was unable to stand up. The sudden onset of chest pain was first reported while swimming at school about 30 minutes prior to presentation. Arterial blood pressure (BP) was 150/90 mmHg, heart rate was 120/minute, and the chest pain was combined with shortness of brea...

BACKGROUND The role of surgery in the management of patients with diffuse oesophageal spasm (DOS) remains controversial. The aim of this study was to assess functional results after extended myotomy for DOS. METHODS This prospective study evaluated 20 patients who had extended myotomy (14 cm on the oesophagus and 2 cm below the oesophagogastric junction) with anterior fundoplication via a lap...

Vitamin D is integral for bone health, and severe deficiency can cause rickets in children and osteomalacia in adults. Although osteomalacia can cause severe generalized bone pain, there are only a few case reports of chest pain associated with vitamin D deficiency. We describe 2 patients with chest pain that were initially worked up for cardiac etiologies but were eventually diagnosed with cos...

To cite: Chattranukulchai P, Luengtaviboon K, Tumkosit M. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013010389 DESCRIPTION A 38-year-old man with asymptomatic chest wall deformity presented with acute, severe retrosternal pain experienced while he was bowling. The pain radiated to the back and down to abdomen in a tearing fashion. Physical examination reveal...

most of the patients imagine that chest pain is not sign of heart attack. but, may be pain is not sign of heart attack. pain source may be from pulmonary, stomach, intestinal, psychologic or musculoskeletal problems. from these factors, when two or more factors combine to each other, similar signs are happen. all of these factors harden diagnosis of chest pain reason. only with separation of pe...

background:   athletes present a different category of the population. trivial complaints may mask more serious illness, especially when the athlete is undergoing intensive training, and the function of his immune system may be sub-optimal . case presentation:   a triathlete presented a few days after completing an ironman race, complaining of lethargy, pleuritic chest pain and loss of appetite...