conclusions: the results obtained from this study support the idea that the timi and modified timi risk scores might be valuable tools that could be used to stratify the risk of patients with atypical chest pain in the emergency department. results: no significant difference could be observed between both groups regarding demographic characteristics, ejection fraction, left ventricle hypertroph...

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...

background: myocardial infarction is the major cause of morbidity and mortality in industrialized countries. platelet count and the mean platelet volume (mpv), a simple and reliable indicator of platelet size which correlates with platelet activation, might associate with troponin in acute chest pain. methods: we analyzed mpv of 851 patients who were admitted to rasoul-e-akram hospital with acu...

conclusions negative pressure inspiration is significantly impaired by an unstable chest wall. restoring mechanical stability of the fractured ribs improves respiratory outcomes similar to baseline values. results a wide variation in the mean inspiratory volumes and peak flows were measured between specimens; however, the effect of a flail chest wall and the subsequent internal fixation of the ...

background physical and psychological factors affect one another in patients presenting with non-cardiac chest pain. studying the psychological components of these patients may improve their treatment process. objectives to compare depression, anxiety, and stress severity between mild and severe chest pain in patients with non-cardiac chest pain. patients and methods a cross-sectional design wa...

background: chest tube removal is a painful procedure. the goal of this study was to evaluate the effect of cold application incombination with indomethacin suppository on chest tube removal pain in patients undergoing open heart surgery. materials and methods: this single-blind, double-group clinical trial was performed on 66 patients aged 18-68 years with thechest tube in pleural space. the i...

introduction: it has been reported that atypical chest pain could have some relationship with panic disorders, anxiety and some other psychological problems. the present case control study is performed to evaluate general health state of patients with atypical chest pain and to study the most usual accompanying symptoms. methods: patients with less than 35 years old were included in the study. ...

Chest wall syndrome is the most frequent cause of chest pain complained by patients admitted to physician’s office, in outward as well emergency department. It may affect all ages with sex ratio 1:1 between man and woman. History illness sensibility palpation or tenderness were keys diagnostic approach. Pain was generally moderate, localized, continuous intermittent over a number hours days wee...

Congenital absence of left circumflex artery is a rare congenital anomaly of the coronary arteries. The prevalence of the anomaly in different studies ranges from 0.6% to 1.3%. Of these, 80% are benign and asymptomatic and 20% are clinically important. We report a 56-year-old man presented with acute resting chest pain who was diagnosed as having acute anterolateral infarction accompanied by el...