Atypical and typical chest pains are common symptoms in patients with hypertrophic cardiomyopathy. Some of these chest pains seem to be caused by ischaemia. It is difficult to objectively demonstrate ischaemia in hypertrophic cardiomyopathy. The first line treatment for chest pain considered to be ischaemic in patients with hypertrophic cardiomyopathy is the use of either a beta blocker or calc...

A 50-year-old man suffering from recurrent chest pain accompanied by transient ST-segment elevation developed spasm of the left anterior descending coronary artery after receiving ergonovine maleate. During spontaneous chest pain, thermodilution coronary sinus blood flow fell from 96 ml/min to 46 ml/min, while the coronary sinsu arteriovenous oxygen difference widened from 9.82 volumes percent ...

Upon arrival on scene the crew finds a middle aged overweight male sitting at a table in the cafeteria. The patient is conscious, alert and fidgeting anxiously. He is pale, diaphoretic, and his right hand is balled into a fist and is pressed against the left side of his chest. The patient complains of severe retro-sternal chest pain radiating to his left arm and jaw. The patient describes the p...

The prevalence of coronary artery stenoses greater than or equal to 70% or left main stenosis greater than or equal to 50% was evaluated in 20,391 patients who underwent angiography in the Coronary Artery Surgery Study from 1975-1979. After the patients with unstable angina or myocardial infarction were excluded, the disease prevalence in the 8157 patients with definite angina, probable angina,...

Solitary fibrous tumor (SFT) is a rare mesen­chymal tumor of the pleura, which arises from visceral pleura and projects into the pleural cavity. This tumor is not related to asbestos exposure or cigarette smoking (1). We report a rare case of SFT of the lung. In this case report, we present the case of a giant SFT in a 76-year-old woman who presented with the complaint of chest pain on the left...

When patients present with chest pain, clinical examination and patient history are fundamental to determine the probable cause of pain and the selection of appropriate tests to confirm clinical suspicions. In the case of myocardial ischemia due to coronary artery disease (CAD), the patient often but not always presents with the classical symptoms, chest tightness and left arm pain. However, ca...

Among the many patients who present to chest clinics and casualty departments with thoracic pain of obscure origin there are a few in whom the cause is immediately apparent from the initial chest radiograph. We present two examples in young women, who were found to have sustained a stress fracture of the first rib during the course of fairly mild but unaccustomed exertion. Case reports Case 1 A...

DESCRIPTION A 48-year-old woman was referred for investigation of chest pain. While having a treadmill exercise tolerance test she developed marked ST-segment elevation with chest pain during stage 1 of the Bruce protocol (figure 1), which resolved promptly at the end of the exercise (figure 2). The patient was transferred to the cardiac catheterisation laboratory for emergent coronary angiogra...

A case is reported of herniation of the left atrial appendage through a partial pericardial defect, probably congenital. The diagnosis was suggested by the history of chest pain and bulging of the middle segment of the left heart border on the plain chest film, without other signs. Angiography revealed a dilated left atrial appendage. An artificial left pneumothorax confirmed the presence of a ...