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Related Concept Videos

Angina III: Clinical Manifestations and Assessment01:29

Angina III: Clinical Manifestations and Assessment

Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
Angina II: Classification01:27

Angina II: Classification

Angina, also known as angina pectoris, is a chest pain resulting from diminished blood flow to the heart muscle and is often a symptom of coronary artery disease. Angina presents several variants with distinctive attributes, etiologies, and therapeutic approaches. The main types of angina include stable, unstable, variant (Prinzmetal's), microvascular, intractable, and silent ischemia.Stable angina is caused by atherosclerosis, which leads to the formation of plaques that narrow the coronary...
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
Angina I: Introduction01:30

Angina I: Introduction

Definition and Symptoms: Angina (angina pectoris) is chest pain or discomfort caused by myocardial ischemia, which occurs when the heart muscle receives insufficient oxygen-rich blood. It typically manifests as pressing, squeezing, or crushing sensations in the chest and may radiate to the shoulders, arms, neck, jaw, or back.Primary Cause: In a healthy state, the coronary arteries can dilate (widen) to increase blood flow and meet the increased oxygen demand during physical activity or...
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...

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Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders
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[Non-cardiac chest pain].

V Weingart1, H-D Allescher

  • 1Zentrum Innere Medizin, Gastroenterologie und Hepatologie, Klinikum Garmisch-Partenkirchen, Garmisch-Partenkirchen. hans.allescher@klinikum-gap.de

Deutsche Medizinische Wochenschrift (1946)
|October 21, 2010
PubMed
Summary

Chest pain requires immediate evaluation to rule out life-threatening cardiac events. Non-cardiac causes of thoracic pain, including esophageal and musculoskeletal issues, necessitate further interdisciplinary assessment and diagnosis.

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Published on: December 28, 2012

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Last Updated: Jun 7, 2026

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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
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Published on: December 28, 2012

Area of Science:

  • Cardiology
  • Gastroenterology
  • Musculoskeletal Medicine

Background:

  • Thoracic pain is a frequent reason for emergency department visits and private practice consultations.
  • Associated symptoms like agitation and fear can indicate instability or acute emergencies.

Observation:

  • Initial assessment focuses on excluding acute life-threatening conditions such as acute coronary syndrome or pulmonary embolism.
  • If cardiac causes are ruled out, differential diagnoses include reflux disease, esophageal disorders, functional pain, and vertebral pain.

Findings:

  • Non-cardiac chest pain presents a broad spectrum of conditions.
  • Each condition requires specific diagnostic and therapeutic approaches.

Implications:

  • Accurate diagnosis of non-cardiac chest pain is crucial for appropriate patient management.
  • An interdisciplinary approach is often necessary for comprehensive evaluation and treatment planning.