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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
|July 1, 1991
PubMed
Summary

Chest pain in adults can mimic myocardial ischemia but may stem from cervical disk disease. Prompt evaluation is crucial, and if life-threatening causes are excluded, consider herniated cervical disks for chest pain relief.

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Area of Science:

  • Emergency Medicine
  • Neurology
  • Cardiology

Background:

  • Chest pain is a common emergency department presentation, often initially evaluated for myocardial ischemia.
  • Established guidelines exist for managing chest pain, emphasizing ruling out life-threatening cardiac causes.
  • Cervical disk disease is an under-recognized cause of chest pain.

Purpose of the Study:

  • To highlight cervical disk disease as a potential cause of chest pain in adults.
  • To present cases where herniated cervical disks mimicked cardiac ischemia.
  • To encourage consideration of cervical disk disease after excluding emergent conditions.

Main Methods:

  • Case report presentation of two patients with chest pain.
  • Review of medical literature regarding cervical disk disease and chest pain.

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  • Clinical evaluation and diagnostic workup for chest pain and neurological symptoms.

    • Main Results:

    • Two patients presented with symptoms suggestive of myocardial ischemia.
    • Both patients were diagnosed with herniated cervical disks.
    • Surgical repair of cervical disks resolved the patients' chest pain symptoms.

    Conclusions:

    • Cervical disk disease can present as chest pain mimicking myocardial ischemia.
    • Herniated cervical disks should be considered in the differential diagnosis of chest pain once life-threatening conditions are ruled out.
    • Surgical intervention for cervical disk disease can effectively alleviate associated chest pain.