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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...
169
Angina I: Introduction01:30

Angina I: Introduction

411
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...
411
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

236
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...
236
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

263
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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Angina II: Classification01:27

Angina II: Classification

228
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...
228
Angina V: Nursing Management01:20

Angina V: Nursing Management

250
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...
250

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Updated: Dec 31, 2025

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

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Non-Cardiac Chest Pain.

Jacob F de Wolff1, Katherine M Fawcett1

  • 1FRCP, Consultant acute physicians, Northwick Park Hospital.

Acute Medicine
|January 9, 2020
PubMed
Summary

Musculoskeletal chest pain is a common issue. Identifying these specific causes in ambulatory clinics can lead to targeted treatments for patients experiencing chest pain.

Area of Science:

  • Medicine
  • Cardiology
  • Pulmonology

Background:

  • Non-cardiac chest pain is a frequent presentation in clinical settings.
  • Accurate diagnosis is crucial for appropriate patient management.
  • Musculoskeletal causes represent a significant differential diagnosis.

Purpose of the Study:

  • To highlight the importance of recognizing musculoskeletal etiologies of chest pain.
  • To discuss the diagnostic approach for non-cardiac chest pain in ambulatory care.
  • To emphasize available treatment options for musculoskeletal chest pain.

Main Methods:

  • Review of existing literature on non-cardiac chest pain.
  • Analysis of diagnostic criteria for musculoskeletal chest pain.
  • Discussion of therapeutic interventions.

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Main Results:

  • Musculoskeletal conditions are a common source of chest pain.
  • Specific physical examination findings can suggest a musculoskeletal origin.
  • Effective treatments are available for many musculoskeletal chest pain causes.

Conclusions:

  • Ambulatory clinics should consider musculoskeletal causes in patients with chest pain.
  • Timely diagnosis of musculoskeletal chest pain can prevent unnecessary investigations.
  • Targeted management improves patient outcomes for this condition.