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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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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Clinical Manifestations:
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Acute Chest Pain Following Bravo Device Placement.

Ruha Reddy1, Brian A Holliday1, Marna Greenberg1

  • 1Department of Emergency and Hospital Medicine, Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Bethlehem, USA.

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Summary
This summary is machine-generated.

The Bravo device, a pH monitor for GERD evaluation, can be mistaken for a dangerous foreign body on imaging due to its unusual appearance and temporary presence. Awareness is key for accurate diagnosis and patient safety.

Keywords:
bravo deviceemergency imaginggerdradiating chest painretention

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Area of Science:

  • Gastroenterology
  • Medical Imaging
  • Device-related Complications

Background:

  • The Bravo device is a temporary esophageal pH monitor used for diagnosing gastroesophageal reflux disease (GERD).
  • It is placed endoscopically and naturally passes within 7-10 days.
  • Its transient nature makes it an uncommon finding on medical imaging.

Observation:

  • A case is presented of a patient with acute chest pain who had recently undergone Bravo device placement.
  • The device, though typically well-tolerated, can cause significant discomfort.
  • It appeared as an unusual finding on imaging studies.

Findings:

  • The Bravo device can be misidentified as a more serious foreign body on imaging.
  • Its presence is a crucial consideration in the differential diagnosis of chest pain.
  • The device is a contraindication for Magnetic Resonance Imaging (MRI).

Implications:

  • Radiologists and clinicians must be aware of the Bravo device to avoid misdiagnosis.
  • Proper identification prevents unnecessary invasive procedures or patient anxiety.
  • Understanding its contraindication for MRI ensures patient safety during diagnostic workups.