Chest Pain
A rare but treatable cause of recurrent chest pain - Ictal chest pain
... to carbamazepine. It was posited by the authors that the mesial parietal lobe and cingulate cortex were re- sponsible for ictal chest pain, given the paracentral distribution. Involvement in these two areas ...
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Discharge of non acute coronary syndrome (ACS) chest pain patients from emergency care to an advanced nurse practitioner led chest pain clinic: An observational study of referral source and final diagnosis
... This study found that the cohort of patients originally assessed in the ED by the advanced cardiology nurse were significantly more likely to be older, have a history of vascular disease and intermediate GRACE risk, ...
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A Rare Cause of Chest Pain: Disseminated Elemental Mercury Microthromboembolism
... of chest pain and intra- venous mercury administration found to be intentional as a suicide ...The chest radio- graphs lead to a wide differential diagnosis in a hemodynamically stable ...
8
Are Chest Radiographs and Electrocardiograms Still Valuable in Evaluating New Pediatric Patients With Heart Murmurs or Chest Pain?
... with a pediatric cardiologist including use of ECG and CXR is the preferred approach to not-clearly- innocent murmurs, and that echocardiography is not a cost-effective screen for murmur evaluation. The value of CXR and ...
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Chest CT examinations in patients presenting with acute chest pain: a pictorial review
... Patent ductus arteriosus (PDA) is a result of failure of the physiological mechanism that closes the fetal duct between the left pulmonary artery and the thoracic aorta after birth. Isolated PDA is estimated to account ...
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The Chest Pain Choice trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency department
... with chest pain and the initial evaluation for non-cardiac etiologies is unrevealing, the focus of the evaluation shifts to estimat- ing a patient's risk for ...
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Comparison of nine coronary risk scores in evaluating patients presenting to hospital with undifferentiated chest pain
... Overall, our study and others suggest HEART outperforms GRACE and TIMI in identifying larger numbers of lower risk patients. While the miss rate for HEART of a discharge diag- nosis of ICP of 6% seen in our study is ...
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Effectiveness of the Chest Pain Choice decision aid in emergency department patients with low risk chest pain: study protocol for a multicenter randomized trial
... knowledge, engagement in the decision-making process and satisfaction), and safely decrease resource utilization. The decision aid described to patients the rationale for their chest pain evaluation and the ...
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Exploring the information needs of patients with unexplained chest pain
... According to this participant, the pain comes and goes and is not associated with exercise. Some participants were confused by being told to exercise in spite of pain and expressed anxiety about doing ...
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The prevalence of cocaine-associated chest pain in a London hospital
... Method: Consecutive patients with pleuritic chest pain presenting to Manchester Royal Infirmary’s emergency department were prospectively recruited. A researcher (blinded to all results) performed bedside ...
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Bedside echo for chest pain: an algorithm for education and assessment
... Results: A total of 38 of the 40 (95%) residents who attended the event participated in the chest pain objective standardized clinical exam, and 26 of the 40 (65%) completed the entire question- naire. The ...
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Noncardiac chest pain: systematic review of the literature on prognosis
... In follow-up studies indicating worse outcome, patients were followed an average of 7.5 years compared with 5 years in studies indicating good prognosis. Also, the mean age is 57 years in the worse outcome group compared ...
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Effectiveness of Screening for Life-Threatening Chest Pain in Children
... OBJECTIVE: We sought to determine the incidence of sudden cardiac death among patients discharged from the cardiology clinic with pre- sumed noncardiac chest pain (CP).. METHODS: The rec[r] ...
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Cost effectiveness of chest pain unit care in the NHS
... This economic analysis has an important limitation that needs to be taken into account in interpreting the find- ings. The comparison of the costs and effects of CPU ver- sus routine care is made on a per patient basis, ...
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Chest Pain in Children
... Idiopathic chest pain was the most common diagnosis made, followed by functional pain (anxiety related) and musculoskeletal pain?. Labo-?[r] ...
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Chest pain and exacerbations of bronchiectasis
... Chest pain may arise from a number of issues, including cardiac, respiratory, gastrointestinal, and chest wall ...Respiratory chest pain is traditionally thought to result from ...
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Implementation of NICE Clinical Guideline 95 for assessment of stable chest pain in a rapid access chest pain clinic reduces the mean number of investigations and cost per patient
... In the UK, the Rapid Access Chest Pain Clinic (RACPC) is a cardiologist-led service assessing patients with recent onset chest pain. CG95 was implemented in July 2010 in the RACPC at the ...
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Chest pain symptom scoring can improve the quality of referrals to Rapid Access Chest Pain Clinic
... total chest pain symptom score ...The chest pain symptom score offers GPs an objective and quantitative diagnostic tool to guide the likelihood of angina and appropriateness of referral to ...
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Randomised controlled trial and economic evaluation of a chest pain observation unit compared with routine care
... undifferentiated chest pain (479 attending on days when care was delivered in the chest pain observation unit, 493 on days of routine care) followed up until six months after initial ...a ...
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Acute chest pain fast track at the emergency department: who was misdiagnosed for acute coronary syndrome?
... acute chest pain to the ...from chest pain related to trauma, patients who had been previously diagnosed/treated as ACS and referred from other hospitals, patients who were referred to other ...
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