article thumbnail

Patent Foramen Ovale Closure in Patients With and Without Nickel Hypersensitivity: A Randomized Trial

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Ahead of Print. The primary endpoint was the incidence of device syndrome, a composite of patient-reported symptoms (chest pain, palpitations, migraines, dyspnea, and rash).Results:Of However, the impact of nickel hypersensitivity on post-procedural outcomes remains poorly understood.

article thumbnail

50-year old with chest pain, “no ischemic changes”

Dr. Smith's ECG Blog

Written by Jesse McLaren A previously healthy 50 year-old presented with 24 hours of intermittent exertional chest pain, radiating to the arms and associated with shortness of breath. In a previously healthy patient with new and ongoing chest pain, this is concerning for acute occlusion of the first diagonal artery.

article thumbnail

Chest Pain Diagnosed as Gastroesophageal Reflux

Dr. Smith's ECG Blog

He presented to the ED 1 day later: He stated that he had continued episodes of chest pain and then it became constant that morning (about 8 hours prior). There is no change in symptoms with exertion, the pain is not pleuritic, positional, or reproducible by palpation. Never assume chest pain is reflux.

article thumbnail

A woman in her 50s with chest pain and dyspnea

Dr. Smith's ECG Blog

Submitted by anonymous, written by Pendell Meyers A woman in her 50s presented to the Emergency Department with chest pain and shortness of breath that woke her from sleep, with diaphoresis. See these other cases of arterial pulse tapping artifact: A 60 year old with chest pain Are these Hyperacute T-waves? 2010.12.162.

article thumbnail

Abstract 4136277: The Lay Public Misconceives Characteristics of Acute Coronary Syndrome-Related Chest Pain

Circulation

Circulation, Volume 150, Issue Suppl_1 , Page A4136277-A4136277, November 12, 2024. Introduction:The most common acute coronary syndrome (ACS) symptom is chest pain. Chest pain is an umbrella term more precisely described using words like pressure or tightness. Methods:Participants from across the U.S.

article thumbnail

A man in his 50s with chest pain

Dr. Smith's ECG Blog

Sent by anonymous, written by Pendell Meyers A man in his 50s with no prior known medical history presented to the Emergency Department with severe intermittent chest pain. He denied any lightheadedness, shortness of breath, vomiting, or abdominal pain. Circulation. Isn't it amazing?? 2001;104:636–641.

article thumbnail

Chest pain, and Cardiology didn't take the hint from the ICD

Dr. Smith's ECG Blog

Submitted and written by Megan Lieb, DO with edits by Bracey, Smith, Meyers, and Grauer A 50-ish year old man with ICD presented to the emergency department with substernal chest pain for 3 hours prior to arrival. At this time he reported ongoing chest pain and was given aspirin and nitroglycerin.