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...

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. ...

premature aging of Wiedmann rautenstrauch type is a rare syndrome,of which only nine cases has been reported up to 1994.this syndrome is characterized by cardiac, mental and physical problems such as skull and vertebral malformation which can be diagnosed from birth.in this article a 24 year old woman is reportef who was reffered to interal medicine clinic with the chief complaint of palpitatio...

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...

Cardiac myxoma is usually a benign tumor in the left atrium that accounts for more than 50% of primary cardiac tumors. A 55-year-old female referred to our hospital with chest pain, referred pain to the left hand, and severe dyspnea. Transthoracic Doppler Echocardiography was performed and the results showed a large and mobile left atrial mass without any attachment to the interatrial septum. I...