Heart BMJ

APRIL 15, 2024

Clinical introduction A man in his 40s with a history of hyperlipidaemia presented with intermittent, dull left-sided chest pain for 2 weeks that was not consistently exertional. Physical examination, an ECG, basic laboratories and a chest X-ray were unremarkable. He did not smoke or use alcohol or illicit drugs.

Chest Pain 52

Chest Pain Echocardiogram Angina Laboratory 52

Frontiers in Cardiovascular Medicine

JULY 5, 2024

BackgroundVasospastic angina usually presents with intermittent episodes of chest pain. It can rarely be associated with the perception of phantom odors.Case summaryA 69-year-old woman presented for evaluation of intermittent shortness of breath and chest pain.

Angina 52

Angina Chest Pain Coronary Artery Disease Exercise 52

American College of Cardiology

APRIL 8, 2024

A coronary sinus reducer (CSR) may lead to a significant reduction in the number of angina episodes in patients with chronic chest pain, but it was not superior to a placebo device for improving myocardial blood flow, according to the results of the ORBITA-COSMIC study, presented during a Late-Breaking Clinical Trial session at ACC.24

Angina 56

Angina Chest Pain Article 56

Open Heart

MAY 2, 2023

Aims Guidelines for suspected cardiac chest pain have used historical risk stratification tools, advocating invasive coronary angiography (ICA) first-line in those at highest risk. 12) Questionnaire and EuroQol-5 Dimension Questionnaire were recorded.

Chest Pain 52

Chest Pain Quality of Life Angina Coronary Artery Disease 52

DAIC

MAY 2, 2024

Results from the open label roll-in cohort of patients having chronic myocardial ischemia with refractory angina showed an average increase in exercise tolerance of 107 seconds and an average of 82% reduction in angina episodes at the primary six-month follow-up endpoint compared to before receiving the study treatment.

Ischemia 95

Ischemia Angina Heart Failure Outcomes 95

MIBHS

FEBRUARY 15, 2025

This condition reduces blood flow to the heart, increasing the risk of angina (chest pain) and heart attacks. Coronary Artery Disease (CAD) : High blood pressure accelerates the development of CAD by promoting the buildup of plaques in the coronary arteries.

Blood Pressure 52

Blood Pressure Hypertension Chest Pain ACE Inhibitor 52

Dr. Smith's ECG Blog

APRIL 22, 2022

Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chest pain without associated symptoms. A prospective validation of the HEART score for chest pain patients at the emergency department. Backus BE, Six AJ, Kelder JC, et al.

Chest Pain 52

Chest Pain Ischemia Myocardial Infarction Angina 52

Heart BMJ

JANUARY 29, 2024

Clinical introduction Vignette A man in his 40s presented to our emergency department with sudden onset of severe central chest pain radiating to his left arm. There was no antecedent angina. He was sweaty, clammy and had accompanying breathlessness. There was no medical history and he was not on any medical treatment.

Chest Pain 40

Chest Pain Angina Ultrasound Plaque 40

Dr. Smith's ECG Blog

JUNE 28, 2018

He had suffered a couple bouts of typical chest pain in the last 24 hours. This ECG (ECG #3) was recorded immediately after the last episode of pain spontaneously resolved. The pain had lasted about one hour. Case A 40-something male presented to triage. There are classic Wellens' waves in V2-V5. Am Heart J.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Article 52

Frontiers in Cardiovascular Medicine

FEBRUARY 18, 2025

Abnormal stress biomarkers [regional wall motion abnormalities (RWMAs), ST-segment depression, induced angina, peak systolic blood pressure, force-based contractile reserve (CR), heart rate reserve (HRR), and low exercise capacity] were used for phenotyping.

Chest Pain 52

Chest Pain Exercise Angina Coronary Artery Disease 52

Dr. Smith's ECG Blog

MAY 20, 2024

A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon. He called EMS, who arrived on scene about two hours after the onset of pain to find him hypertensive at 220 systolic.

Chest Pain 126

Chest Pain Blood Pressure Ischemia STEMI 126

Dr. Smith's ECG Blog

MARCH 4, 2023

This is NOT Wellens because the T-wave inversion is DURING the pain (not after -- Wellens' is a syndrome of TWI after an episode of angina is resolved). While I still had questions about this case given the limited information provided ( ie, Was chest pain in this younger adult diabetic from acute PE?

Chest Pain 52

Chest Pain Embolism Tachycardia Pulmonary 52

Dr. Smith's ECG Blog

MARCH 17, 2024

He also complained of intermittent mild chest pain radiating into into both shoulders and his back, as well as occasional unexplained sweating. In addition, his cardiologist suspected vasospastic angina and therefore started amlodipine. He had no further chest pain. Clear inferior and posterior reperfusion.

Angina 71

Angina Chest Pain Blog Ischemia 71

Dr. Smith's ECG Blog

SEPTEMBER 5, 2024

Because previous ischemia induces myocardial preconditioning, decreasing the likelihood of transmural myocardial necrosis and myocardial rupture, patients with evidence of diabetes mellitus, chronic angina or previous MI are less likely to experience a rupture. Not all patients with acute ( or recent ) MI have chest pain with their event.

Cardiogenic Shock 109

Cardiogenic Shock Chest Pain Pericarditis Myocardial Infarction 109

Frontiers in Cardiovascular Medicine

OCTOBER 7, 2024

Patients experiencing LVOTO may manifest symptoms such as angina, syncope, etc. Our report describes two cases of SVS treated with endocardial ablation to improve LVOTO.Case reportCase 1: A 74-year-old female patient with angina and syncope was admitted to the hospital and diagnosed with SVS by transthoracic echocardiogram.

Ablation 59

Ablation Angina Chest Pain Echocardiogram 59

Open Heart

MAY 11, 2022

Objective The study evaluated the feasibility of mindfulness-based cognitive therapy (MBCT) in patients with non-cardiac chest pain by assessing their willingness to participate and adhere to the programme, and for these data to help further refine the content of MBCT for chest pain. ±7.3).

Chest Pain 52

Chest Pain Quality of Life Angina Hospital 52

Dr. Smith's ECG Blog

JANUARY 31, 2020

A middle-aged man complained of 15 minutes of classic angina that resolved upon arrival to the ED. The patient's chest pain had resolved by the time of the ECG 2. But it does prove that the patient has coronary disease and makes the probability that his chest pain is due to ACS very very high. The T-waves are flat.

Angina 52

Angina Stents Stent Aneurysm 52

DAIC

MAY 14, 2024

The impact of this narrowing can ultimately result in angina (chest pain), which has been shown to double the risk of major cardiovascular events,1 as well as myocardial infarction ( heart attack ) or even death. Use Heart to Act on Angina. Available at: [link]. Accessed May 2024.

Coronary Artery Disease 111

Coronary Artery Disease Interventional Cardiology Innovation Physiology 111

Dr. Smith's ECG Blog

APRIL 18, 2024

Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. 1] European guidelines add "regardless of biomarkers". But only 6.4%

STEMI 121

STEMI Chest Pain Myocardial Infarction Blog 121

Dr. Smith's ECG Blog

DECEMBER 14, 2018

This appears to be a classic Wellens' ECG, Pattern A, with terminal T-wave inversion in V2-V4, preserved R-waves, and it appears to be Wellens' syndrome, as it occurred after resolution of typical angina pain. The patient remained pain free. Unstable Angina still exists 2. Case continued All troponins were negative.

Chest Pain 52

Chest Pain Angina Ischemia Stenosis 52

Dr. Smith's ECG Blog

MAY 1, 2016

Chest Pain in a 61 year old male. Chest Pain in a Male in his 20's; Inferior ST elevation: Inferior lead "early repol" diagnosed. A Case of Clinical Unstable Angina in the ED This case shows how hyperacute is only relative to the baseline T-waves. Details in every case make it even better, so click on the link!!

Chest Pain 52

Chest Pain STEMI Angina Hospital 52

Dr. Prateek Bhatnagar

MAY 11, 2022

The patient was suffering with angina (chest pain) since 2002. He was now getting chest pain even at rest and his life was at grave risk. He received these 12 stents on 5 different occasions at 5 different hospitals of the twin cities. The last 3 stents were placed just 6 months back but were not working.

Stents 52

Stents Stent Chest Pain Diabetes 52

Dr. Smith's ECG Blog

MARCH 9, 2017

Case A 42-year-old lady presented to the ED with complaints of intermittent episodes of chest pain associated with shortness of breath for the last 2 days. This was her ECG (it is unclear if this was with or without pain): Computerized ECG Read: “Normal sinus rhythm. Unstable Angina still exists. Thanks, Sam! Normal ECG.”

Chest Pain 52

Chest Pain Angina Ischemia Plaque 52

Dr. Anish Koka

MAY 16, 2023

This means that at every age, the probability a man complaining of chest pain has significant underlying coronary disease as a cause of this chest pain is much higher than a woman complaining of chest pain. The results of this dataset by age and gender follow.

Chest Pain 52

Chest Pain Coronary Artery Disease Cancer Heart Attack 52

Dr. Smith's ECG Blog

JULY 2, 2023

Chest pain or discomfort) What do you think? The total duration of chest pain was 30-45 minutes. I said that this is unstable angina until proven otherwise. Thus, Unstable Angina. Here was my response: "Suspicious for inferior posterior OMI. I said "give aspirin, heparin, and troponins will be positive."

Chest Pain 52

Chest Pain Angina Coronary Angiogram Blog 52

Dr. Paddy Barrett

DECEMBER 5, 2023

Whether stenting a narrowed coronary artery improves symptoms such as chest pain (angina) or shortness of breath is a very different question. Share Angina The classic definition of angina involves the sensation of tightness in the centre of the chest that is brought on with exertion and is relieved with rest.

Stents 59

Stents Stent Angina Heart Attack 59

The British Journal of Cardiology

JUNE 11, 2024

Manifestations of CVDs, such as chest pain, abnormal serum markers, unstable angina, myocardial infarction (MI), myocarditis, and new-onset hypertension, were documented. The most common symptom was left hemithorax and interscapular pain (317 patients, 46%).

COVID-19 40

COVID-19 Cardiovascular Disease Angina Chest Pain 40

Coronary Artery Disease Journal

JUNE 3, 2024

Objectives There are few reports regarding the prognosis in patients with obstructive coronary artery disease (OCAD) and vasospastic angina (VSA). This study investigated the clinical characteristics and clinical outcomes in patients with VSA and OCAD, especially regarding provoked spasm phenotypes and sites.

Stenosis 40

Stenosis Angina Chest Pain Coronary Artery Disease 40

Dr. Prateek Bhatnagar

SEPTEMBER 6, 2023

Hemant, a resident of Delhi NCR, had developed chest pain (angina). However, within 3 months of stenting, he developed increasing chest pain. He underwent coronary angiography at Delhi, which showed severe blocks in left main and other coronary arteries of his heart.

Stents 52

Stents Stent Open-Heart Surgery Chest Pain 52

Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

He had concurrent sharp substernal chest pain that resolved, but palpitations continued. Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Episodes of angina over past couple of months had been progressive. Repeat cardioversion was then s uccessful.

Tachycardia 139

Tachycardia Cardiogenic Shock Angina Coronary Angiogram 139

Dr. Smith's ECG Blog

JANUARY 5, 2024

Thus, the patient does not (yet) get a formal diagnosis of MI and must be called unstable angina unless further troponins return above the 99th percentile. The patient said his chest pain was 4/10, down from 8/10 on presentation. On the basis of unresolved angina, cardiology decided to perform rescue PCI. of the time.

Angina 121

Angina Plaque Document Stent 121

Dr. Smith's ECG Blog

MARCH 9, 2013

This male in his 40's had been having intermittent chest pain for one week. He awoke from sleep with crushing central chest pain and called ems. EMS recorded a 12-lead, then gave 2 sublingual nitros with complete relief of pain. Type B waves are deeper and symmetric. Lessons: 1. de Zwaan C., Janssen J.H.A.,

Chest Pain 52

Chest Pain Myocardial Infarction Ischemia Angina 52

Dr. Smith's ECG Blog

DECEMBER 19, 2023

link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. He described it as "10/10" intensity, radiating across his chest from right to left. This is written by Willy Frick, an amazing cardiology fellow in St.

Plaque 127

Plaque Angina Blog Stent 127

Heart BMJ

JANUARY 29, 2024

1 2 The exercise ECG, once the stalwart of chest pain evaluation, has lost favour over the last two decades in most heart centres due to its relatively poor discriminatory ability and reliance on patients to walk on a treadmill.

Exercise 40

Exercise Chest Pain Coronary Artery Disease Angina 40

Dr. Smith's ECG Blog

JULY 3, 2018

Submitted and written by Alex Bracey with edits by Pendell Meyers and Steve Smith Case A 50ish year old man with a history of CAD w/ prior LAD MI s/p LAD stenting presented to the ED with chest pain similar to his prior MI, but worse. The pain initially started the day prior to presentation. The ST elevation from today is ~0.2

Pericarditis 52

Pericarditis Chest Pain Stents Stent 52

Open Heart

AUGUST 25, 2024

Background On the one hand, the primary coronary slow flow phenomenon (CSFP) can cause recurrence of chest pain, prompting medical examinations and further healthcare costs, while on the other hand, it can lead to myocardial infarction, ventricular arrhythmia and sudden cardiac death.

Sudden Cardiac Death 40

Sudden Cardiac Death Angina Chest Pain Myocardial Infarction 40

Dr. Prateek Bhatnagar

SEPTEMBER 14, 2020

63 years old Afsar Khan resident of Karwan, Hyderabad had been having coronary artery disease and chest pain on exertion for about a year. However, after discharge from hospital, his heart symptoms increased and in May he developed unstable angina. With increasing chest pain, he underwent coronary angiography in June.

COVID-19 52

COVID-19 Chest Pain Pulmonary Coronary Artery Disease 52