A 48-year-old man who complained of a severe throbbing pain in his right lateral chest was referred to our department. His chest computed tomography (CT) and X-ray, abdominal CT and ultrasonography had revealed no abnormalities. Four days after admission to our ward the patient vomited and he requested upper gastrointestinal (GI) endoscopy: this showed duodenal ulcer. Treatment with omeprazole ...

We present a female patient with atypical chest pain who was referred to our department for ischemia evaluation. 99mTc-MIBI myocardial perfusion scan with dipyridamole stress was performed. Sub-diaphragmatic activity in the hepatic tissue and then in the bowel loops caused severe overlap on the inferior wall even on consecutive delayed images. Dipyridamole stress was repeated for the...

Introduction: Chest pain is a common compliant in children and adolescents visiting the clinic. We assess and analyze the etiology of chest pain among children referred a pediatric cardiology clinic in cardiac center in south west of Iran.Materials and Methods: We assessed children with chest pain who visited our medical center during March 2013 to April 2014. Any case of trauma associated ches...

thirty five children with a primary complaint of chest pain were prospectively studied. the average age was 9.7 years for boys and 8. 9 years for girls 60% were male. the most frequently diagnosed cause was psychogenic (54.2%). forty percent of the patients were classified as having idiopathic chest pain. precordial pain was encountered in 2. 9%), along with costochondritis and mitral valve pro...

A patient with chronic flail chest, severe persistent pain and chest wall deformity was successfully managed with open reduction and internal fixation of the ribs and application of a novel osteogenic protein.

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...

A 14-year-old boy with mid-ventricular hypertrophic obstructive cardiomyopathy (MVHOCM) first presented at the age of 10 years with severe chest pain. Two-dimensional echocardiography disclosed marked hypertrophy at the mid-portion of the ventricular septum, and left ventriculography showed an hourglass appearance at systole. He was initially treated with propranolol, but the chest pain and dys...

We encountered a case of exercise-induced chest pain after the implantation of sirolimus-eluting stents (SESs). She had no history of previous chest pain, and an exercise stress test just after the implantation of the SESs was negative without any symptoms. However, six months after the implantation of the SESs, she began to experience frequent episodes of severe chest pain on effort in spite o...

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 ...

Myopericarditis occurs in 15% of patients with pericarditis. Recurrent myopericarditis occurs in 15% to 30% of patients after partial or complete recovery from acute myopericarditis. Relapse often occurs within 1 month of an initial episode. The standard of care for pericarditis or myopericarditis is initial treatment with nonsteroidal anti-inflammatory drugs for 10 to 14 days. Colchicine is of...