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Related Experiment Videos

Herniated cervical disk presenting as ischemic chest pain.

L C Mitchell1, R W Schafermeyer

  • 1Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC 28232.

The American Journal of Emergency Medicine
|September 1, 1991
PubMed
Summary
This summary is machine-generated.

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Chest pain in adults may stem from cervical disk disease, not just heart issues. Promptly rule out life-threatening conditions before considering herniated cervical disks as a cause.

Area of Science:

  • Emergency Medicine
  • Neurosurgery
  • Cardiology

Background:

  • Chest pain is a common emergency department presentation, with myocardial ischemia being the primary concern.
  • Established guidelines exist for evaluating chest pain, emphasizing the exclusion of life-threatening cardiac causes.
  • Cervical disk disease is an underrecognized potential cause of chest pain.

Observation:

  • Two cases are presented where patients exhibited symptoms suggestive of cardiac ischemia.
  • Diagnostic workup revealed herniated cervical disks as the underlying cause in both instances.
  • Surgical intervention for cervical disk herniation resulted in complete symptom resolution.

Findings:

  • Cervical disk herniation can mimic cardiac ischemia symptoms.

Related Experiment Videos

  • This diagnosis was well-documented in medical literature mid-20th century but is less frequently discussed currently.
  • Herniated cervical disks should be considered in the differential diagnosis of chest pain after life-threatening causes are excluded.

    • Implications:

    • Emergency physicians should broaden their differential diagnosis for chest pain to include cervical disk disease.
    • Increased awareness may lead to earlier diagnosis and appropriate treatment for patients with non-cardiac chest pain.
    • Revisiting historical medical literature can uncover valuable, underutilized diagnostic insights.