scholarly journals Stable atypical chest pain with negative anatomical or functional diagnostic test: Diagnosis no matter what or prevention at any cost?

2019 ◽  
Vol 42 (10) ◽  
pp. 982-987
Author(s):  
Deborah Cosmi ◽  
Beatrice Mariottoni ◽  
Franco Cosmi
Keyword(s):  
Chest Pain ◽  
Diagnostic Test ◽  
Atypical Chest Pain ◽  
Functional Diagnostic

Clinical relevance of myocardial bridging detected by coronary CT angiography in patients with atypical chest pain

2019 ◽  
Vol 67 (1) ◽  
Author(s):  
Ludovico La Grutta ◽  
Roberto Malagò ◽  
Patrizia Toia ◽  
Giulia Tabacco ◽  
Tommaso Smeraldi ◽  
...  
Keyword(s):  
Chest Pain ◽  
Ct Angiography ◽  
Clinical Relevance ◽  
Coronary Ct Angiography ◽  
Myocardial Bridging ◽  
Atypical Chest Pain ◽  
Coronary Ct

Atypical Chest Pain in ACS: A Trap Especially for Women

2016 ◽  
Vol 22 (25) ◽  
pp. 3877-3884 ◽  
Author(s):  
Beatrice Ricci ◽  
Edina Cenko ◽  
Elisa Varotti ◽  
Paolo Emilio Puddu ◽  
Olivia Manfrini
Keyword(s):  
Chest Pain ◽  
Atypical Chest Pain

scholarly journals The triple rule out CT in acute chest pain: a challenge for emergency radiologists?

2021 ◽  
Author(s):  
Vincenzo Russo ◽  
Camilla Sportoletti ◽  
Giulia Scalas ◽  
Domenico Attinà ◽  
Francesco Buia ◽  
...  
Keyword(s):  
Chest Pain ◽  
Emergency Radiology ◽  
Acute Chest Pain ◽  
Radiology Workflow ◽  
Radiology Department ◽  
Atypical Chest Pain ◽  
Triple Rule Out ◽  
Good Diagnostic Accuracy ◽  
Rule Out ◽  
Ct Studies

Abstract Purpose To evaluate the feasibility of triple rule out computed tomography (TRO-CT) in an emergency radiology workflow by comparing the diagnostic performance of cardiovascular and general radiologists in the interpretation of emergency TRO-CT studies in patients with acute and atypical chest pain. Methods Between July 2017 and December 2019, 350 adult patients underwent TRO-CT studies for the assessment of atypical chest pain. Three radiologists with different fields and years of expertise (a cardioradiologist—CR, an emergency senior radiologist—SER, and an emergency junior radiologist—JER) retrospectively and independently reviewed all TRO-CT studies, by trans-axial and multiplanar reconstruction only. Concordance rates were then calculated using as reference blinded results from a different senior cardioradiologist, who previously evaluated studies using all available analysis software. Results Concordance rate was 100% for acute aortic syndrome (AAS) and pulmonary embolism (PE). About coronary stenosis (CS) for non-obstructive (<50%), CS concordance rates were 97.98%, 90.91%, and 97.18%, respectively, for CR, SER, and JER; for obstructive CS (>50%), concordance rates were respectively 88%, 85.7%, and 71.43%. Moreover, it was globally observed a better performance in the evaluation of last half of examinations compared with the first one. Conclusions Our study confirm the feasibility of the TRO-CT even in an Emergency Radiology department that cannot rely on a 24/7 availability of a dedicated skilled cardiovascular radiologist. The “undedicated” radiologists could exclude with good diagnostic accuracy the presence of obstructive stenosis, those with a clinical impact on patient management, without needing time-consuming software and/or reconstructions.

Managing the Patient with Atypical Chest Pain

1997 ◽  
Vol 32 (4) ◽  
pp. 159-176
Author(s):  
William J. Snape ◽  
Stephen A. Brunton
Keyword(s):  
Chest Pain ◽  
Atypical Chest Pain

Usefulness of pharmacologic stress echocardiography for the long-term prognostic assessment of patients with typical versus atypical chest pain

2003 ◽  
Vol 91 (4) ◽  
pp. 440-442 ◽  
Author(s):  
Elisabetta Amici ◽  
Lauro Cortigiani ◽  
Claudio Coletta ◽  
Susanna Franzin ◽  
Riccardo Bigi ◽  
...  
Keyword(s):  
Chest Pain ◽  
Stress Echocardiography ◽  
Pharmacologic Stress ◽  
Atypical Chest Pain ◽  
Prognostic Assessment

scholarly journals Elevated troponin and left bundle branch block in the setting of suspected septicemia and demand ischemia: to treat or not to treat

2018 ◽  
Author(s):  
Munish Sharma ◽  
Rubinder Toor ◽  
Koroush Khalighi
Keyword(s):  
Chest Pain ◽  
Left Bundle Branch Block ◽  
Cardiac Monitoring ◽  
Type Ii ◽  
Elevated Troponin ◽  
Cardiac Enzymes ◽  
Atypical Chest Pain ◽  
Bundle Branch Block ◽  
Coronary Catheterization ◽  
St Elevation

Elevated troponin and atypical chest pain in the setting of septicemia and Type II Non ST elevation myocardial infarction is frequently encountered. These cases are not necessarily scheduled for emergent cardiac catheterization. High index of clinical suspicion and continuous in-patient cardiac monitoring with serial trending of cardiac enzymes are important in such cases. Subsequent sudden development of electrocardiogram changes requires prompt investigation with emergent coronary catheterization. These types of cases may be missed especially in females who present with atypical chest pain and in patients with Left bundle branch block.

Atypical Chest Pain

1978 ◽  
Vol 13 (11) ◽  
pp. 158-160 ◽  
Author(s):  
Maurice L. Kelley
Keyword(s):  
Chest Pain ◽  
Atypical Chest Pain
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