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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...
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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...
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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...
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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...
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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...
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Atypical chest pain: Needles in a haystack.

J M Jansen van Vuuren1, S Pillay, K Ramchandre

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A young man experienced chest pain due to approximately 15 sewing needles embedded in his heart muscle, primarily the left ventricle. He requires cardiothoracic surgery for removal and will be closely monitored.

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Area of Science:

  • Cardiology
  • Cardiothoracic Surgery
  • Medical Imaging

Background:

  • Foreign body ingestion or aspiration can lead to serious complications.
  • Cardiac foreign bodies are rare but can cause significant morbidity and mortality.
  • Symptomatic presentation of cardiac foreign bodies necessitates prompt diagnosis and management.

Purpose of the Study:

  • To report a rare case of multiple sewing needles lodged in the myocardium.
  • To highlight the diagnostic challenges and management of cardiac foreign bodies.
  • To emphasize the importance of thorough investigation in cases of persistent chest pain.

Main Methods:

  • A 20-year-old male patient presented with a 6-month history of intermittent chest pain.
  • Initial diagnostic imaging revealed approximately 15 sewing needles within the myocardium, concentrated in the left ventricle.
  • The patient was referred for cardiothoracic surgery evaluation.

Main Results:

  • Multiple sewing needles were identified within the heart muscle.
  • The foreign bodies were predominantly located in the left ventricle.
  • The patient's condition required specialized surgical intervention.

Conclusions:

  • Cardiac foreign bodies, such as sewing needles, represent a rare but critical clinical scenario.
  • Prompt identification via imaging and surgical referral are crucial for patient outcomes.
  • Close monitoring is essential following management of cardiac foreign bodies.