On 11 March 2010, a 51-year-old female on hemodialysis for about 10 years came to our hospital, complaining of abdominal and chest pain during sleep. She also had hypertension for >10 years and her blood pressure was not well controlled. Chest X ray was done, which showed increased lung markings and bilateral lower lung opacities, otherwise unremarkable. She was treated with antihypertensives a...

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...

PURPOSE If a patient with aortic dissection (AoD) is inadvertently treated with thrombolytic agents, severe complications and poor outcomes are likely to ensue. We reported a case and postulated mandibular pain as warning sign for diagnosing AoD related stroke. CASE REPORT We report an 81-year-old woman presenting with left mandibular pain followed by left hemiplegia. Extracranial carotid dup...

Chest pain is one of the most prevalent complaints among adults that cause the people to attend to medical centers. The aim was to determine the prevalence and risk factors of chest pain among over 30 years old people in Tehran. In this cross-sectional study, 787 adults took part from Apr 2005 until Apr 2006. The sampling method was random cluster sampling and there were 25 clusters. In each cl...

in this paper, we describe a case of an aneurysmal circumflex artery connected to the coronary sinus through a fistula in a 40-year-old man with a two-year history of palpitation and chest pain. we discussed surgical management for patients with coronary artery fistula (caf), particularly for asymptomatic patients with a small left-to-right shunt .

A 40-year-old man was hospitalized in the coronary care unit with chest pain and abnormal electrocardiogram. Twenty days earlier, the patient underwent laparoscopic gallbladder surgery. Due to chest pain and ischemic ECG changes, patient was subjected to coronary angiography. The selective coronary angiography revealed multiple multilateral fistulae arising from the left anterior descending art...

Isolated left ventricular diverticulum, which is characterized by local embryologic development failure of ventricular muscle, is a rare cardiac abnormality and it may be found in isolated form or with other cardiac abnormalities. Clinically, it has been reported that it might cause heart failure, arrhythmia or chest pain despite the fact that it may often follow an asymptomatic course. We pres...

acute myocardial infarction is the most important reason of mortality in iran. more than half of these deaths occur without the patient even reaching to a hospital. there is the evidence that patients with better knowledge of the symptoms of mi will seek help earlier. the purpose of this study is to determine how well a predictive model will perform based solely upon patient-reportable clinical...

Mesalamine-containing products are often a first-line treatment for ulcerative colitis. Severe adverse reactions to these products, including cardiovascular toxicity, are rarely seen in pediatric patients. We present a case of a 16-year-old boy with ulcerative colitis treated with Asacol, a mesalamine-containing product, who developed sudden onset chest pain after four weeks on therapy. Serial ...