87,596 results match your criteria chest pain

Severe myocardial bridge presenting as paroxysmal atrioventricular block.

J Postgrad Med 2021 Apr 8. Epub 2021 Apr 8.

Division of Cardiology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei City, Taiwan.

Chest pain complicated with electrocardiographic changes is not an uncommon scenario in emergency departments, which should be examined cautiously. We describe a 51-years-old man with a myocardial bridge of coronary artery presenting with simultaneous Mobitz type I atrioventricular block on electrocardiography. Echocardiography excluded valvular abnormality and systolic/diastolic dysfunction. Read More

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[Age-related differences in the management and outcome of acute coronary syndrome under the chest pain center model: a multicenter retrospective study].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2021 Mar;33(3):318-323

Department of Cardiology, Third People's Hospital of Chengdu Affiliated to Southwest Jiaotong University, Chengdu 610031, Sichuan, China. Corresponding author: Cai Lin, Email:

Objective: To assess the age-related differences in the management strategies and outcomes of patients with acute coronary syndrome (ACS) under the chest pain center model.

Methods: Clinical data of 2 833 patients with ACS were enrolled in the retrospective observational registry between January 2017 and June 2019 at 11 hospitals with chest pain centers in Chengdu. The patients were divided into four groups according to their ages: < 55 years old group (n = 569), 55-64 years old group (n = 556), 65-74 years old group (n = 804), ≥ 75 years old group (n = 904). Read More

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A Rare Presentation of Asymptomatic Spontaneous Pneumomediastinum.

Cureus 2021 Mar 4;13(3):e13695. Epub 2021 Mar 4.

Internal Medicine, Osceola Regional Medical Center, Kissimmee, USA.

Spontaneous pneumomediastinum is a rare condition characterized by interstitial air within the mediastinum without any obvious causative factors. It is most commonly found in young men, and the clinical presentation is typically associated with chest or neck pain and dyspnea. Objective findings can include subcutaneous emphysema of the neck and chest. Read More

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Association of sex with the clinical course and outcome of internal emergency department patients: a secondary data analysis.

Eur J Emerg Med 2021 Apr 5. Epub 2021 Apr 5.

Department for Pediatric Cardiology and Intensive Care, Medical Hospital of the University of Munich, Ludwig Maximilians University Munich, Munich Department of Emergency and Acute Medicine, Campus Mitte and Virchow, Charité - Universitätsmedizin Berlin, Berlin Thermo Fisher Scientific, Clinical Diagnostic, BRAHMS GmbH, Hennigsdorf Department of Emergency and Acute Medicine, Campus Benjamin Franklin, Berlin, Germany.

Background And Importance: Differences between men and women visiting the emergency department (ED) with nonsurgical complaints have mostly been investigated in small, diagnosis-based subpopulations.

Objective: This study investigated sex-differences in an unselected cohort of nonsurgical ED patients.

Design: Secondary data of all patients attending two EDs of the Charité, Universitätsmedizin Berlin collected in the framework of their medical evaluation was reviewed. Read More

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Fifteen-minute consultation: Recognition of sickle cell crises in the paediatric emergency department.

Arch Dis Child Educ Pract Ed 2021 Apr 8. Epub 2021 Apr 8.

Paediatric Emergency Department, Cardiff and Vale University Health Board, Cardiff, UK.

Children with sickle cell disease can develop life-threatening and painful crises that require prompt assessment and efficient management by healthcare professionals in the emergency or acute care setting. Due to migration patterns and improved survival rates in high-prevalence countries, there is an increased tendency to encounter these patients across the UK. These factors warrant regular revisions in sickle cell crisis management, along with education for medical personnel and patients to improve clinical care and patient management. Read More

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Prevalence of therapeutic and diagnostic procedures in the last 14 days of life in hospital patients: a single-center observational study from Germany.

Ann Palliat Med 2021 Apr 1. Epub 2021 Apr 1.

Department of Anesthesiology, Intensive Care Medicine, and Pain Management, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil gGmbH Bochum, Medical Faculty of the Ruhr University of Bochum, Bochum, Germany.

Background: The opportunities available for maintaining and prolonging life in modern medicine give rise to medical-ethical dilemmas in patients at the end of life, raising the question of whether intensified treatment and diagnosis is appropriate in these patients. This affects hospital patients in particular.

Methods: This single-center cross-sectional study from Germany analyzed hospital records of all deceased patients of a university hospital who died between October 2016 and September 2017. Read More

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[Clinical features of 141 fatal cases of coronavirus disease in Jinyintan Hospital in Wuhan, China].

Zhonghua Jie He He Hu Xi Za Zhi 2021 Apr;44(4):354-359

Department of Respiratory Disease and Intensive Care, Changsha Central Hospital, Changsha 410001, China.

To describe the epidemiological characteristics and clinical features of patients with fatal coronavirus disease (COVID-19), in order to provide evidence for clinical diagnosis and treatment. In this retrospective study, we analyzed data on 141 fatal cases of confirmed COVID-19 that occurred among patients in Jinyintan Hospital in Wuhan, China, from January 20 to March 6, 2020. We analyzed their epidemiological characteristics, clinical and radiological features, laboratory results, and treatment. Read More

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The innate immune response in myocarditis.

Int J Biochem Cell Biol 2021 Apr 5:105973. Epub 2021 Apr 5.

School of Cardiovascular Medicine and Sciences, King's College London British Heart Foundation Centre of Excellence, James Black Centre, 125 Coldharbour Lane, London, SE5 9NU, UK. Electronic address:

Acute myocarditis is an inflammatory condition of the heart characterised by cellular injury and the influx of leucocytes, including neutrophils, monocytes, macrophages and lymphocytes. While this response is vital for tissue repair, excessive scar deposition and maladaptive ventricular remodelling can result in a legacy of heart failure. It is increasingly recognised as a clinical phenomenon due, in part, to increased availability of cardiac magnetic resonance imaging in patients presenting with chest pain in the absence of significant coronary artery disease. Read More

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Aortic Intimo-intimal Intussusception: A Pooled Analysis of Published Reports.

Ann Vasc Surg 2021 Apr 5. Epub 2021 Apr 5.

Department of Vascular Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, P.R.China. Electronic address:

Aim: Aortic intimo-intimal intussusception (AoII) is a rare manifestation of aortic dissection with high mortality. This study aimed to obtain a comprehensive understanding of AoII.

Methods: Three databases (Pubmed, Scopus, Embase) were searched with predefined search terms ["intimal intussusception", "aortic intussusception", "(circumferential) AND (intimal dissection)" and "(circumferential) AND (aortic dissection)"]. Read More

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Management of Mycotic Thoracic Aortic Aneurysm with Staged Hybrid Approach.

Ann Vasc Surg 2021 Apr 5. Epub 2021 Apr 5.

Medical College of Georgia at Augusta University, Department of Surgery, Division of Vascular and Endovascular Surgery, Augusta, Georgia.

We report a case of mycotic thoracic aortic aneurysm managed by staged hybrid repair. A 30-year-old male patient with polysubstance abuse presented with chest pain and elevated white blood cell count. CTA performed showed a rapidly developing mycotic thoracic aortic pseudoaneurysm. Read More

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Patient-reported outcome measures after mitral valve repair: a comparison between minimally invasive and sternotomy.

Interact Cardiovasc Thorac Surg 2021 Apr;32(3):433-440

Department of Cardiac Surgery, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK.

Objectives: To compare patient-reported outcome measures of minimally invasive (MI) to sternotomy (ST) mitral valve repair.

Methods: We included all patients undergoing isolated mitral valve surgery via either a right mini-thoracotomy (MI) or ST over a 36-month period. Patients were asked to complete a modified Composite Physical Function questionnaire. Read More

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Case report of recurring pneumonia due to unusual foreign body aspiration in the airway.

Medwave 2021 Mar 25;21(2):e8136. Epub 2021 Mar 25.

Hospital Regional Docente de Trujillo, Trujillo, Perú. ORCID: 0000-0001-5453-8998.

Foreign body aspiration is a rare but life-threatening event. Most accidental aspiration events occur in children. In adults, it can represent up to 25% of cases. Read More

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Hyponatraemia in Adult Patients with Pneumonia in a Medical College Hospital of Bangladesh.

Mymensingh Med J 2021 Apr;30(2):267-273

Dr Mohammed Amdad Ullah Khan, Assistant Professor, Department of Medicine, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:

Pneumonia is an acute on chronic infection involving the pulmonary parenchyma. Most cases are caused by microbial pathogens usually bacteria or viruses and less often fungi or parasites. Hyponatraemia on admission is associated with greater risk of death and increased length of hospital stays. Read More

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An extremely rare case of desmoplastic fibroblastoma exhibiting rapid growth in the chest wall: a case report.

Surg Case Rep 2021 Apr 7;7(1):86. Epub 2021 Apr 7.

Department of Surgery, Yamagata Prefecture Shinjo Hospital, 12-55 Wakaba Town, Shinjo, Yamagata, 996-0025, Japan.

Background: Desmoplastic fibroblastoma is an uncommon, benign, fibrous tumor exhibiting infiltrative growth. Most of these tumors are small, slow-growing, and develop as subcutaneous lesions in the extremities. Cases of desmoplastic fibroblastoma in the chest wall are quite rare, and the preoperative diagnosis of such cases remains challenging as these tumors can mimic the characteristics of desmoid-type fibromatosis, which often occurs in the chest wall. Read More

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Left Ventricular Longitudinal Global Strain to Predict Severe Coronary Disease in Patients with Precordial Pain Suggestive of Non-ST-Segment Elevation Acute Coronary Syndrome.

J Cardiovasc Echogr 2020 Oct-Dec;30(4):187-192. Epub 2021 Jan 20.

Department of Cardiology, Sanatorium Allende, Córdoba, Argentina.

Background: Diagnosing non-ST-segment elevation acute coronary syndrome (NSTE-ACS) is not always straightforward. Left ventricular global longitudinal strain (LVGLS) is an echocardiographic method capable of detecting subclinical regional and global ventricular contractile dysfunction due to myocardial ischemia. The objectives of this study were to evaluate the efficacy of LVGLS in diagnosing severe coronary disease in patients with chest pain suggestive of NSTE-ACS and to assess the relationships between LVGLS reduction and ultrasensitive troponin T (UsTnT) elevation, electrocardiographic changes suggestive of ischemia, and the number of vessels with severe obstructions. Read More

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January 2021

Clinical and Radiological Presentations of Various Pulmonary Infections in Hospitalized Diabetes Mellitus Patients: A Prospective, Hospital-Based, Comparative, Case Series Study.

Pulm Med 2021 20;2021:8878746. Epub 2021 Mar 20.

Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh 226003, India.

Background: Diabetes mellitus is associated with increased rate of respiratory tract infections. The objective was to compare demographic, clinical, serum biochemical, and typical and atypical radiological profiles among hospitalized diabetics and nondiabetics with lower respiratory tract infection. . Read More

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Structural Heart Issues in Dextrocardia: Situs Type Matters.

Ochsner J 2021 ;21(1):111-114

Department of Anesthesiology, Louisiana State University Health-Shreveport, Shreveport, LA.

Patients who are diagnosed with dextrocardia, a rare congenital heart condition in which the heart points toward the right side of the chest, need their specific situs classification (eg, solitus, inversus, ambiguus) ascertained to optimize their care and outcomes. In this report, we discuss the perioperative anesthetic management of a patient presenting with dextrocardia. A 44-year-old African American female with a history of hypertension, hyperlipidemia, gastroesophageal reflux disease, and diabetes mellitus type 2 was admitted for shortness of breath, dyspnea on exertion, orthopnea, and paroxysmal nocturnal dyspnea. Read More

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January 2021

Anterior Cervical Discectomy and Fusion Versus Conservative Treatment for Cervical Angina Conservative Treatment.

Clin Spine Surg 2021 Apr 6. Epub 2021 Apr 6.

Institute of Medical Sciences, Tzu Chi University, Hualien Department of Orthopedics, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi School of Medicine, Tzu Chi University Department of Orthopedics, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.

Study Design: This study employed a retrospective study design.

Objective: This retrospective cohort study aimed to compare the outcomes of anterior cervical discectomy and fusion (ACDF), and those of conservative treatment for patients with cervical angina.

Summary Of Background Data: Cervical angina is typically characterized by intolerable and paroxysmal angina-like precordial pain, which is caused by cervical disk degeneration in patients without definitive cardiovascular abnormalities. Read More

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A rare case of spontaneous haemothorax in patient with haemophilia A.

BMJ Case Rep 2021 Apr 7;14(4). Epub 2021 Apr 7.

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Haemorrhage in patients with haemophilia is common after minor trauma but may occur spontaneously. Despite the diversity of bleeding sites, spontaneous haemothorax, on a non-traumatic basis, is an exceedingly rare event and only a few cases had been reported. We present a case of a 43-year-old man with a history of haemophilia A who had pleuritic chest pain for 1 day without significant history of trauma. Read More

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The use of virtual reality to reduce stress among night-shift anesthesiologists: study protocol for a crossover trial.

Trials 2021 Apr 7;22(1):257. Epub 2021 Apr 7.

Department of Anesthesiology, The Third Affiliated Hospital of Sun Yat-sen University, No. 600 Tianhe Road, Guangzhou, 510630, Guangdong Province, China.

Background: Because of the lack of anesthesia workforce, anesthesiologists are forced to work overtime and more night shifts, which can disturb their biological rhythm and cause severe stress and depression, potentially leading to negative and even devastating outcomes for both themselves and patients. Virtual reality (VR), a new method to reduce stress and pain for patients, has been widely used in biomedical fields. The purpose of this study is to evaluate the potential effectiveness of VR technology in reducing stress among night-shift anesthesiologists. Read More

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Surgery for fibroadenoma arising from axillary accessory breast.

Sung Ryul Lee

BMC Womens Health 2021 Apr 7;21(1):139. Epub 2021 Apr 7.

Department of Surgery, Damsoyu Hospital, 234 Hakdong-ro, Gangnam-gu, Seoul, Republic of Korea.

Background: Patients with fibroadenomas in axillary accessory breasts (AABs) have a palpable mass, cyclic axillary pain, and aesthetic concerns that must be addressed. We compared the baseline patient characteristics, AAB characteristics, and surgical outcomes of patients with AABs with and without fibroadenomas undergoing surgical excision. We also monitored the patients for recurrence of axillary fibroadenomas. Read More

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Regional Analgesia for Cardiac Surgery. Part 2: Peripheral Regional Analgesia for Cardiac Surgery.

Semin Cardiothorac Vasc Anesth 2021 Apr 8:10892532211002382. Epub 2021 Apr 8.

Mount Sinai Morningside Medical Center, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

The introduction of regional analgesia in the past decades have revolutionized postoperative pain management for various types of surgery, particularly orthopedic surgery. Nowadays, they are being constantly introduced into other types of surgeries including cardiac surgeries. Neuraxial and paravertebral plexus blocks for cardiac surgery are considered as deep blocks and have the risk of hematoma formation in the setting of anticoagulation associated with cardiac surgeries. Read More

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Intracardiac Cement Embolism: Images and Endovascular Treatment.

Circ Cardiovasc Imaging 2021 Apr 8:CIRCIMAGING120011849. Epub 2021 Apr 8.

Department of Internal Medicine/Orthopedics Surgery/Emergency Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu City, Taiwan.

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Solitary Fibrous Tumors of the Pleura Shown on 18F-FDG and 68Ga-DOTA-FAPI-04 PET/CT.

Clin Nucl Med 2021 Apr 5. Epub 2021 Apr 5.

From the Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Nuclear Medicine, Peking University Cancer Hospital & Institute, Beijing, China.

Abstract: A 52-year-old man complained of pain in the right lower chest wall for a month. Chest CT found a subpleural mass, but failed to identify the nature of the tumor. The 18F-FDG PET/CT was conducted for further diagnosis and staging, which showed the mass in the lower lobe of the right lung with mild radioactive uptake of 18F-FDG. Read More

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[Coronary artery bypass grafting in myocardial infarction and unstable angina pectoris: in-hospital outcomes. Part 2].

Angiol Sosud Khir 2021 ;27(1):151-157

Cardiosurgical Department, Scientific Research Institute of Complex Problems of Cardiovascular Diseases, Kemerovo, Russia.

Aim: To assess in-hospital outcomes of coronary artery bypass grafting in patients with acute coronary syndrome, depending on the presence or absence of myocardial infarction.

Patients And Methods: Over the period from 2017 to 2018 within the framework of a single-centre register, the study enrolled a total of 166 consecutive patients admitted with non-ST segment elevation acute coronary syndrome and subjected to coronary artery bypass grafting. Depending on the outcome of acute coronary syndrome, the patients were divided into 2 groups: Group One included 98 (59%) patients with unstable angina pectoris and Group Two comprised 68 (41%) patients with myocardial infarction, who underwent surgery at an average of 16 (11; 20) days after manifestation of the clinical signs of myocardial infarction. Read More

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Gastrointestinal: Endoscopic suture removal resolves chest pain after esophagectomy.

J Gastroenterol Hepatol 2021 Apr 6. Epub 2021 Apr 6.

Department of Gastroenterology and Hepatology, Medical College of Georgia, Augusta, Georgia, USA.

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'A bridge over troubled water': a case report.

Eur Heart J Case Rep 2021 Mar 31;5(3):ytab109. Epub 2021 Mar 31.

Sports Medicine Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli, 8, 00168 Rome, Italy.

Background: Myocardial bridge (MB) is the most common inborn coronary artery variant, in which a portion of myocardium overlies a major epicardial coronary artery segment. Myocardial bridge has been for long considered a benign condition, although it has been shown to cause effort-related ischaemia.

Case Summary : We present the case of a 17-year-old female patient experiencing chest pain during physical activity. Read More

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Successful Treatment of Spontaneous Coronary Artery Dissection With Cutting Balloon Angioplasty.

Cureus 2021 Mar 4;13(3):e13706. Epub 2021 Mar 4.

Cardiology, Detroit Medical Center, Detroit, USA.

Spontaneous coronary artery dissection (SCAD) is a rare but serious condition that requires immediate attention. It has a similar presentation to acute coronary syndrome in terms of chest pain, electrocardiogram changes, and an increase in troponins, and is considered to be a significant cause of myocardial infarction. Coronary angiography is needed to confirm the diagnosis, and subsequent repair should be pursued when needed. Read More

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Acute Coronary Syndrome and COVID-19: A Case Report of Refractory Hypercoagulability.

Cureus 2021 Mar 3;13(3):e13675. Epub 2021 Mar 3.

Internal Medicine, St Mary's General Hospital, Passaic, USA.

Novel coronavirus disease 2019 (COVID-19) is known to cause severe bilateral pneumonia and acute respiratory distress syndrome (ARDS), leading to difficulty breathing requiring mechanical ventilation and ICU management. In many patients, it has been found to cause severe hypercoagulability. We present a case of COVID-19 positive patient who developed myocardial infarction (MI) despite being on multiple anticoagulants. Read More

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Pleural and Pericardial Infection Due to Cutibacterium acnes in a Splenectomized Patient: A Case Report of an Underreported Systemic Infection.

Cureus 2021 Mar 3;13(3):e13668. Epub 2021 Mar 3.

Infectious Disease, Piedmont Athens Regional Medical Center, Athens, USA.

Infectious pericarditis does not always present with all the classic findings. Some of the traditional signs of fever, pleuritic chest pain, and frictional rub may be missing. This presents a diagnostic challenge, thus clinical suspicion is important. Read More

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