background: the purpose of this research was to determine the relation between negative or positive qualitative troponin i test and the short term prognosis of patients presenting to emergency department with chest pain or angina equivalent symptoms. methods: we assessed the qualitative rapid troponin i in patients with chest pain or angina equivalent symptoms after at least 4 hours and then we...

echocardiography is a non-invasive diagnostic technique which provides information regarding cardiac function and hemodynamics. it is the most frequently used cardiovascular diagnostic test after electrocardiography and chest x-ray. however, in a patient with acute chest pain, transthoracic echocardiography is essential both for diagnosing acute coronary syndrome, zeroing on the evaluation of v...

Aortic dissection occurs when a tear develops in the wall of the aorta, which is rare in the young population. This fatal disorder is hard to diagnose, especially in young patients. We present the case of aortic dissection in a 15-year-old boy referred to the Emergency Department of Yazd University of Medical Sciences in November 2015. The patient presented to our department with sudden acute c...

Objective: Acute chest pain is an important and frequently occurring symptom in patients. Chest pain is often a sign of ischemic heart disease. Chest pain due to suspected Acute Coronary Syndrome (ACS) is responsible for a large and ijncreasing number of hospital attendances and admissions. Current practice for suspected ACS involves troponin testing 10–12 hours after symptom o...

aortic dissection occurs when a tear develops in the wall of the aorta, which is rare in the young population. this fatal disorder is hard to diagnose, especially in young patients. we present the case of aortic dissection in a 15-year-old boy referred to the emergency department of yazd university of medical sciences in november 2015. the patient presented to our department with sudden acute c...

introduction: acute coronary syndrome accounts for more than 15% of the chest pains. recently, hess et al. developed north american chest pain rule (nacpr) to identify very low-risk patients who can be safely discharged from emergency department (ed). the present study aimed to validate this rule in eds of two academic hospitals. methods: a prospective diagnostic accuracy study was conducted on...