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Related Concept Videos

Angina III: Clinical Manifestations and Assessment01:29

Angina III: Clinical Manifestations and Assessment

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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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Pericarditis II: Clinical Features and Diagnostic Tests01:19

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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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Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
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Pericarditis IV: Nursing Management01:25

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Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
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Angina II: Classification01:27

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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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Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

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Published on: August 9, 2024

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EVALUATION OF NON-CARDIAC CHEST PAIN.

Balwinder Singh1, S P Varma2, A C Anand3

  • 1Classified Mod Spl & Gastroenterologist, Associate Professor, Dept of Medicine; CH (AF) Bangalore.

Medical Journal, Armed Forces India
|August 4, 2017
PubMed
Summary
This summary is machine-generated.

Non-cardiac chest pain cases were evaluated, excluding coronary artery disease. Upper gastrointestinal endoscopy and clinical diagnosis identified esophageal causes, with patients responding well to treatment.

Keywords:
Angina like painNon-cardiac chest pain

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Area of Science:

  • Gastroenterology
  • Internal Medicine
  • Cardiology

Background:

  • Non-cardiac chest pain is a common clinical presentation.
  • Coronary artery disease (CAD) is often a primary concern, necessitating exclusion.
  • Esophageal disorders are frequent mimics of cardiac pain.

Purpose of the Study:

  • To report a series of five cases presenting with non-cardiac chest pain.
  • To evaluate the utility of upper gastro-intestinal endoscopy in diagnosing the cause.
  • To highlight the management and outcomes of patients with esophageal causes of chest pain.

Main Methods:

  • Case series involving five patients with non-cardiac chest pain.
  • Comprehensive cardiac workup to exclude coronary artery disease (CAD).
  • Diagnostic procedures included upper gastro-intestinal endoscopy and clinical assessment.
  • Treatment protocols were initiated based on diagnosis.
  • Patient follow-up ranged from six months to two years.

Main Results:

  • Cardiac workup definitively excluded coronary artery disease in all five patients.
  • Upper gastro-intestinal endoscopy proved useful in identifying underlying esophageal pathology.
  • Gastroesophageal reflux disease (GERD) was diagnosed in three patients.
  • Esophageal disease was diagnosed clinically in the remaining two patients.
  • All patients demonstrated positive response to initiated treatments.

Conclusions:

  • Non-cardiac chest pain can be effectively managed by excluding cardiac etiologies and diagnosing esophageal disorders.
  • Upper gastro-intestinal endoscopy is a valuable tool for investigating the source of non-cardiac chest pain.
  • Prompt diagnosis and treatment of conditions like GERD lead to favorable patient outcomes.