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Items from 1 to 20 out of 889 results

article

Intérêt du coroscanner en urgence pour l’exclusion de la maladie coronaire chez les patients souffrant de douleur thoracique à risque faible ou intermédiaire

B. Hounkpatin, I. Hamani Saibou, N. Oloudé, V. Tixier, more

Annales de cardiologie et d'angeiologie > 2014 > 63 > 5 > 279-283

Démontrer l’intérêt du coroscanner chez les patients ayant une douleur thoracique aiguë suspecte, sans modification électrique ni montée enzymatique, et ayant un faible risque cardiovasculaire.Cinquante-trois patients ayant une douleur thoracique à risque faible ou intermédiaire de maladie coronaire explorés en urgence par un coroscanner ont été inclus. Le résultat du coroscanner a été classé en normal,...

article

Coronary microvascular dysfunction assessment: A comparative analysis of procedural aspects

Ilan Merdler, Ryan Wallace, Avantika Banerjee, Giorgio A. Medranda, more

Catheterization and Cardiovascular Interventions > 103 > 5 > 703 - 709

Background Full adoption of coronary microvascular dysfunction (CMD) assessment faces challenges due to its invasive nature and concerns about prolonged procedure time and increased contrast and/or radiation exposure. We compared procedural aspects of CMD invasive assessment to diagnostic left heart catheterization (DLHC) in patients with chest pain who were not found to have obstructive coronary...

article

Reasons for repeat urgent cardiac procedures within the same day

Sukhdeep Bhogal, Mohil Garg, Namratha S. Meda, Ilan Merdler, more

Catheterization and Cardiovascular Interventions > 103 > 5 > 691 - 694

Background With advances in technology and technique, the expectations are that patients undergoing procedures in the cardiac catheterization laboratory will not need to return for a repeat procedure within the same day. Objectives Report why subjects undergoing cardiac procedures return urgently to the catheterization laboratory for a repeat procedure during the same day. Methods We retrospectively...

article

Natural history of symptoms and prognostic information of the rapid drink challenge and solid bolus swallows in esophagogastric junction outflow obstruction defined by manometry

Axel Josefsson, Magnus Simrén, Adam Smolak, Nour Sabbagh, more

Neurogastroenterology & Motility > 36 > 2 > n/a - n/a

Background/Introduction Esophagogastric junction outflow obstruction (EGJOO) is a condition characterized by poor relaxation of the lower esophageal sphincter (LES), which can manifest as dysphagia and chest pain. The best treatment of EGJOO is unknown as some patients improve without any specific therapy, whereas some patients undergo invasive therapy. Currently, prognostic factors are lacking....

article

Retrospective cohort study: Effect of age as a barrier to diagnosis of eosinophilic oesophagitis

Akshatha Kiran, Evan S. Dellon, Craig C. Reed

Alimentary Pharmacology & Therapeutics > 59 > 2 > 260 - 268

Background Prior work suggests eosinophilic oesophagitis (EoE) is rare in those aged over 65 years. However, elderly patients with EoE experience a substantial diagnostic delay from symptom onset to diagnosis. Aims To assess if age predicted whether oesophageal biopsies were obtained in patients with EoE symptoms, what clinical features predict EoE in the elderly, and if EoE phenotype differs between...

article

Editorial: A closer examination of the racial discrepancies in ED cardiac care

Chiamara C. Anokwute, Paul I. Musey

Academic Emergency Medicine > 30 > 10 > 1071 - 1072

article

Race differences in cardiac testing rates for patients with chest pain in a multisite cohort

Lucas M. Popp, Nicklaus P. Ashburn, Anna C. Snavely, Brandon R. Allen, more

Academic Emergency Medicine > 30 > 10 > 1020 - 1028

Background Identifying and eliminating racial health care disparities is a public health priority. However, data evaluating race differences in emergency department (ED) chest pain care are limited. Methods We conducted a secondary analysis of the High‐Sensitivity Cardiac Troponin T to Optimize Chest Pain Risk Stratification (STOP‐CP) cohort, which prospectively enrolled adults with symptoms suggestive...

article

Lead related atrial perforation mimicking inferior ST elevation myocardial infarction

Reşit Yiğit Yilancioglu, Oğuzhan Ekrem Turan, Ahmet Anıl Başkurt, Emin Evren Özcan

Pacing and Clinical Electrophysiology > 46 > 7 > 710 - 713

ST‐elevation myocardial infarction (STEMI) is a life‐threatening clinical condition that requires immediate intervention, mostly caused by complete occlusion of epicardial vessels. Other diseases such as myocarditis, pericarditis, electrolyte disturbance, and early repolarization may mimic. We present a rare case of atrial lead‐related atrial perforation which mimics inferior STEMI.

article

Minimally invasive resection of symptomatic bifid intrathoracic rib

Carlos Delgado‐Miguel, Pablo Fernández, Antonio Muñoz‐Serrano, Pablo Aguado, more

Pediatric Pulmonology > 58 > 6 > 1818 - 1820

article

Clinical characteristics of Aboriginal and Torres Strait Islander emergency department patients with suspected acute coronary syndrome

Laura Stephensen, Jaimi Greenslade, Katrina Starmer, Greg Starmer, more

Emergency Medicine Australasia > 35 > 3 > 442 - 449

Objectives To describe the demographics, presentation characteristics, clinical features and cardiac outcomes for Aboriginal and Torres Strait Islander patients who present to a regional cardiac referral centre ED with suspected acute coronary syndrome (ACS). Methods This was a single‐centre observational study conducted at a regional referral hospital in Far North Queensland, Australia from November...

article

Management and outcomes of patients with chest pain and psychiatric disorders in the era of high‐sensitivity cardiac troponins

Andreas Roos, Eva Sedin, Gustaf Edgren

Journal of Internal Medicine > 293 > 4 > 481 - 493

Background The management of patients with psychiatric disease and chest pain in the emergency department (ED) in the era of high‐sensitivity cardiac troponin assays is unexplored. Objectives To investigate differences in management and outcomes comparing patients with versus without psychiatric disorders who present with chest pain in the ED. Methods All visits to seven different EDs in Sweden...

article

What can be done to improve diagnosis of aortic dissection?

Anne‐Maree Kelly, Xiu Qing Lee, Justin Curran

Emergency Medicine Australasia > 35 > 1 > 176 - 180

Aortic dissection (AD) is rare. Missed AD is a common reason for coronial investigations and civil claims for medical negligence. Recommendations include improved education, supervision and information transfer, reminders in chest pain pathways and higher rates of investigation for AD. Higher investigation rates pose risks to patients and the health system which may not be in balance with the likelihood...

article

To determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to emergency department in a tertiary care hospital.

Penagaluru Pranay Krishna, Ravi Sankar Velavarthipati, Midde Srikanth, B Skanda Gopala Krishna, more

Critical Care Innovations > 2023 > 6 > 1 > 1-16

INTRODUCTION: One of the main causes of sudden cardiac death in the emergency department is myocardial infarction. Although there are several scores that helped predict an identified acute coronary incident, there was no quantitative tool available to risk stratifying patients with chest pain to support more decisions. The study is aimed to determine the prognostic accuracy of the HEART score as a...

article

To determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to emergency department in a tertiary care hospital.

Penagaluru Pranay Krishna, Ravi Sankar Velavarthipati, Midde Srikanth, B Skanda Gopala Krishna, more

Critical Care Innovations > 2023 > 6 > 1 > 1-16

article

To determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to emergency department in a tertiary care hospital

Penagaluru Pranay Krishna, Ravi Sankar Velavarthipati, Midde Srikanth, B Skanda Gopala Krishna, more

Critical Care Innovations > 2023 > 6 > 1 > 1-16

article

Circadian rhythm and clinical characteristics in patients with acute myocardial infarction combined with obstructive sleep apnea

Fang Zhao, Xiaoyun Zhao, Liheng Yang, Yuechuan Li

Annals of Noninvasive Electrocardiology > 27 > 5 > n/a - n/a

Objective The present study aimed to investigate the circadian rhythm and clinical characteristics of patients with acute myocardial infarction (AMI) combined with obstructive sleep apnea (OSA). Methods Patients with AMI combined with OSA were enrolled in the study, and those that met the inclusion criteria were divided into three time‐period groups based on their sleep–wake rhythm (22:00–5:59,...

article

Major adverse cardiac event rates in moderate‐risk patients: Does prior coronary disease matter?

Henderson D. McGinnis, Nicklaus P. Ashburn, Brennan E. Paradee, James C. O'Neill, more

Academic Emergency Medicine > 29 > 6 > 688 - 697

Background Despite negative troponins and nonischemic electrocardiograms (ECGs), patients at moderate risk for acute coronary syndrome (ACS) are frequently admitted. The objective of this study was to describe the major adverse cardiac event (MACE) rate in moderate‐risk patients and how it differs based on history of coronary artery disease (CAD). Methods A secondary analysis of the HEART Pathway...

article

Development and validation of a risk score for chest pain with suspected non‐ST‐segment elevation acute coronary syndrome

Chun‐Peng Ma, Xiao‐Li Liu, Jian‐Shuang Feng, Xue‐Fei Dong

Annals of Noninvasive Electrocardiology > 27 > 3 > n/a - n/a

Objective To investigate a new risk score for acute chest pain with suspected non‐ST‐segment elevation acute coronary syndrome (NSTE‐ACS). Methods Patients who suffered from Chest pain and suspected NSTE‐ACS were enrolled as subjects. Predictor variables had been analyzed, and a bootstrap technique was used to evaluate the internal validity of the model, and external validation had been assessed...

article

Chest pain and palpitations in postmenopausal women with mitral valve prolapse: is there a gastro‐oesophageal origin?

Maria Maiello, Annapaola Zito, Annagrazia Cecere, Marco Matteo Ciccone, more

Internal Medicine Journal > 52 > 5 > 848 - 852

Background and aim Mitral valve prolapse (MVP) is a common disease in women, causing chest pain and palpitation due to structural and functional valve abnormality, and is sometimes associated with gastro‐oesophageal reflux disease (GERD). This is a challenging clinical problem in clinical practice and requires targeted diagnostic assessment to identify the underlying causes of the symptoms, because...

article

Slipping rib syndrome

Jonathan Bong, David Healey

Journal of Medical Imaging and Radiation Oncology > 66 > 3 > 409 - 410

Slipping rib syndrome (SRS) is an underdiagnosed condition that can lead to debilitating lower chest and upper abdominal pain (Am J Med Sci 2019; 357: 168). It is caused by hypermobility of the anterior ends of the costal cartilages of false ribs, allowing the eighth to tenth ribs to slip under the rib above, giving its name (Semin Pediatr Surg 2018; 27: 183). Failure to recognize this syndrome can...

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Search results

Intérêt du coroscanner en urgence pour l’exclusion de la maladie coronaire chez les patients souffrant de douleur thoracique à risque faible ou intermédiaire

Coronary microvascular dysfunction assessment: A comparative analysis of procedural aspects

Reasons for repeat urgent cardiac procedures within the same day

Natural history of symptoms and prognostic information of the rapid drink challenge and solid bolus swallows in esophagogastric junction outflow obstruction defined by manometry

Retrospective cohort study: Effect of age as a barrier to diagnosis of eosinophilic oesophagitis

Editorial: A closer examination of the racial discrepancies in ED cardiac care

Race differences in cardiac testing rates for patients with chest pain in a multisite cohort

Lead related atrial perforation mimicking inferior ST elevation myocardial infarction

Minimally invasive resection of symptomatic bifid intrathoracic rib

Clinical characteristics of Aboriginal and Torres Strait Islander emergency department patients with suspected acute coronary syndrome

Management and outcomes of patients with chest pain and psychiatric disorders in the era of high‐sensitivity cardiac troponins

What can be done to improve diagnosis of aortic dissection?

To determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to emergency department in a tertiary care hospital.

To determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to emergency department in a tertiary care hospital.

To determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to emergency department in a tertiary care hospital

Circadian rhythm and clinical characteristics in patients with acute myocardial infarction combined with obstructive sleep apnea

Major adverse cardiac event rates in moderate‐risk patients: Does prior coronary disease matter?

Development and validation of a risk score for chest pain with suspected non‐ST‐segment elevation acute coronary syndrome

Chest pain and palpitations in postmenopausal women with mitral valve prolapse: is there a gastro‐oesophageal origin?

Slipping rib syndrome

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