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Differentiating Between Cardiac and Non-Cardiac Chest Pain

All About Cardiovascular System and Disorders

It is not always possible to be certain about the origin of chest pain just by its characteristics as the variation between individuals is quite a bit. A medical opinion should be sought in case of any significant chest pain so that important ailment is not missed. A pain lasting more than 30 minutes is usual.

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Case Report: Vasospastic angina presenting as phantom odor perception

Frontiers in Cardiovascular Medicine

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
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Young man with chest pain and an abnormal echocardiogram

Heart BMJ

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.

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Utility of exercise ECG testing in clinical practice: back to the future?

Heart BMJ

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.

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BioCardia’s CardiAMP Cell Therapy Chronic Myocardial Ischemia Trial Results Show Patient Benefits in Important Outcomes

DAIC

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.

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Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

Dr. Smith's ECG Blog

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.

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Abstract 4140337: Resting Heart Rate and Chronotropic Incompetence are Linked

Circulation

Background:Cardiac output reserve and exercise capacity are strong predictors of life expectancy. Chronotropic incompetence (CI) is the inability to reach an age appropriate maximum heart rate with exercise. CI reduces cardiac output reserve and exercise capacity, both of which increase all-cause mortality risk. x age in years).Results:The