scholarly journals Chest Pain in Adolescent Japanese Male Mimicking Acute Coronary Syndrome

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Sachin K. Gupta ◽  
Zahra Naheed
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Adult Population ◽  
Acute Chest Pain ◽  
Adolescent Male ◽  
Cardiac Enzymes ◽  
Coronary Syndrome ◽  
Adolescent Population ◽  
Japanese Male ◽  
Enzyme Elevation

Acute chest pain with very elevated troponin level and abnormal EKG in adult population is considered sine qua non to acute coronary syndrome (ACS) unless proved otherwise. Similar presentation in adolescent population is seen less often but raises suspicion for ACS. Most common etiology for chest pain with cardiac enzyme elevation in adolescent population is usually viral myopericarditis. The adolescent population presenting with chest pain and elevated cardiac enzymes should be carefully evaluated for ACS and other etiologies including myocarditis, myopericarditis, pulmonary embolism, acute rheumatic fever, and trauma. We report one Japanese adolescent male with mycoplasma pneumoniae myocarditis who presented to the ER with chest pain, elevated cardiac enzymes, and abnormal EKG.

Chest pain and chest pain units

2018 ◽  
Author(s):  
Eric Durand ◽  
Aurès Chaib ◽  
Etienne Puymirat ◽  
Nicolas Danchin
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Acute Coronary Syndromes ◽  
Acute Chest Pain ◽  
The United States ◽  
Cardiac Biomarkers ◽  
Coronary Syndrome ◽  
Cardiology Department ◽  
Coronary Syndromes ◽  
Rule Out

Patients presenting at the emergency department with acute chest pain and suspected to represent an acute coronary syndrome were classically admitted as routine to the cardiology department, resulting in expensive and time-consuming evaluations. However, 2-5% of patients with acute coronary syndromes were discharged home inappropriately, resulting in increased mortality. To address the inability to exclude the diagnosis of acute coronary syndrome, chest pain units were developed, particularly in the United States. These provide an environment where serial electrocardiograms, cardiac biomarkers, and provocative testing can be performed to confirm or rule out an acute coronary syndrome. Eligible candidates include the majority of patients with non-diagnostic electrocardiograms. The results have been impressive; chest pain units have markedly reduced adverse events, while simultaneously increasing the rate of safe discharge by 36%. Despite evidence to suggest that care in chest pain units is more effective for such patients, the percentage of emergency or cardiology departments setting up chest pain units remains low in Europe.

scholarly journals Acute chest pain: Acute coronary syndrome versus lead perforation: A case report

2010 ◽  
Vol 3 (1) ◽  
pp. 13 ◽  
Author(s):  
Prashanth Peddi ◽  
Deepthi Vodnala ◽  
Jagadeesh K Kalavakunta ◽  
Ranjan K Thakur
Keyword(s):  
Acute Coronary Syndrome ◽  
Case Report ◽  
Chest Pain ◽  
Acute Chest Pain ◽  
Coronary Syndrome ◽  
Lead Perforation

scholarly journals COMPARATIVE ANALYSIS OF VARIOUS RISK ASSESSMENT SCORES FOR LOW RISK ACUTE CORONARY SYNDROME IN AN INDIAN SCENARIO – AN ED BASED OBSERVATIONAL STUDY.

2019 ◽  
Vol 3 (11) ◽  
Author(s):  
Zahid Shaikh ◽  
V. S. Shinde ◽  
Sumalya Tripathi ◽  
Dhiraj Jadhav ◽  
Ishan Lamba ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Tertiary Care ◽  
Acute Chest Pain ◽  
Industrial Area ◽  
Low Risk ◽  
Cardiac Biomarkers ◽  
Assessment Scores ◽  
Heart Score ◽  
Coronary Syndrome

Chest pain is one of the most common presentation to emergency department (ED). The misdiagnosis or over-diagnosis of patients with acute chest pain can be associated with serious clinical events or is time-consuming and this places a heavy burden on overcrowded and resource constraint ED. To help overcome this issue various scores are formed to rule out acute coronary syndrome (ACS) in these patients. Those who do not meet the criteria of high risk ACS like raised cardiac biomarkers, ECG changes, etc are labeled as low risk ACS. These patients form the majority of patients. A multitude of risk score have been formulated to predict the outcome and risk stratify patients with chest pain. Our objective was to evaluate the utility of these score in Indian setting in low risk ACS patients. We studied the various risk prediction score of 100 patients presenting to the ED of tertiary care teaching institute in an urban industrial area with low risk ACS. The scores that were calculated included HEART, TIMI, ADAPT, GRACE, NACPR and EDACS. Of all the scores only the HEART score correlated well with identifying those who required further testing. Taking a score of less than 3 as a marker of low risk ACS we get a sensitivity of 95.83% (95CI - 89.67% to 98.85%) and specificity of 100%. The PPV is 100% and accuracy of 96%. All other scores were either not specific enough or had limited utility. Keywords: Low risk ACS, ACS, HEART, TIMI, ADAPT, GRACE, NACPR, EDACS

scholarly journals Young Patient with Chagas Disease Presenting Initially as Acute Chest Pain and Treated for Acute Coronary Syndrome

2021 ◽  
Vol 34 (4) ◽  
Author(s):  
Jakson Ferreira Neto ◽  
◽  
Dannyl Roosevelt de Vasconcelos Lima ◽  
Pedro Vinicius Amorim de Medeiros Patriota ◽  
João Helbert Costa e Silva ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Young Patient ◽  
Chagas Disease ◽  
Acute Chest Pain ◽  
Coronary Syndrome
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