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. on ex...

conclusions these findings strongly suggest the diagnosis of delayed post-infarction pericarditis, or dressler syndrome, a rare disease in the age of reperfusion therapy. although rare, it is a syndrome that must be considered in the differential diagnosis of chest pain. case presentation a 46-year-old male was admitted to the emergency department due to pleuritic chest pain. two weeks before t...

aim: given the importance of psychological factors in the incidence of physical pains, the present study has been conducted for the purpose of comparing mindfulness and type d personality among women diagnosed with non-cardiac chest pain and healthy women of tehran. method: the present research is descriptive and of causative-comparative type. the sample includes 60 women with non-cardiac chest...

conclusions considering that the most frequent reason for our urvs was patient-related factors, where all cases had left the cpu against medical advice (ama) during their first attendance, we recommend that further appropriate strategies be devised to prevent leaving against medical advice. results patient-related factors accounted for most 72 hours urvs (49%). multivariable analysis revealed t...

We present the case of a 36 yr old woman with a persisting complaints of left chest pain. A chest radiograph revealed multiple left pleural thickenings. Classical exploration was negative. Thoracic surgery allowed the subtotal removal of a huge pleural tumour. The histological examination revealed a clear cell sarcoma. The literature on this extremely rare tumour is reviewed.

A 30-year-old man without any cardiovascular history was transferred to our hospital because of chest pain. On arrival, his blood pressure was 166/93 mm Hg, with a pulse rate of 58 bpm. His oxygen saturation level was 98%. His ECG showed normal sinus rhythm, with poor R-wave progression in the precordial leads (Figure, A). The white blood cell count was 7990/mm, and the level of creatine kinase...

A 7-year-old boy developed a left ventricular aneurysm with massive hemopericardium 3 years ago due to a fall from a fourth-floor window. He had mild neurological sequelae including cranial nerve III palsy and abnormal electroencephalography findings at that time. He had no chest pain until recently when he presented with chest tightness and abdominal pain for 2 days prior to admission. Chest X...

A 58-year old woman had felt some chest pains on effort for several days. She was admitted to the emergency room with severe and refractory chest pain after exercise. Electrocardiogram showed marked ST-segment elevations in II, III, aVF and V1-6 electrodes. Echocardiogram revealed neither wall motion asynergy in the left ventricle nor abnormal pericardial effusion. Chest X-ray showed normal fin...

A 4-year-old girl was brought to our hospital by her parents because of abdominal pain. She had suffered minor trauma after rolling from her standard-height bed 2 days prior. Vital signs were appropriate for age. Physical examination was remarkable for decreased breath sounds to the left side of the chest. A chest radiograph (Figure) demonstrated a large gas-filled structure in the left side of...

BACKGROUND The epidemiology of chest pain differs strongly between outpatient and emergency settings. In general practice, the most frequent cause is the chest wall pain. However, there is a lack of information about the characteristics of this syndrome. The aims of the study are to describe the clinical aspects of chest wall syndrome (CWS). METHODS Prospective, observational, cohort study of...