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Related Experiment Videos

Chest pain variant asthma.

E J Whitney, J M Row, R N Boswell

    Annals of Emergency Medicine
    |September 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Chest pain can be an asthma symptom, even without wheezing. Early diagnosis and treatment with bronchodilators and corticosteroids are key for symptom relief in these asthma cases.

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    Area of Science:

    • Pulmonology
    • Internal Medicine

    Background:

    • Asthma is a chronic respiratory disease characterized by airway inflammation and hyperresponsiveness.
    • Common asthma symptoms include wheezing, shortness of breath, chest tightness, and coughing.

    Observation:

    • Three patients presented with chest pain as their primary symptom.
    • None of the patients had audible wheezing at the time of presentation.
    • A diagnosis of asthma was considered despite the absence of typical wheezing.

    Findings:

    • The diagnosis of asthma was confirmed by a positive clinical response to bronchodilator therapy in all three patients.
    • One patient demonstrated intermittent reversible airway obstruction.
    • Another patient showed significant sensitivity to methacholine challenge.

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  • Two patients required short courses of oral corticosteroids to achieve symptom resolution.

    • Implications:

    • Chest pain should be considered a potential asthma symptom, particularly when typical signs like wheezing are absent.
    • Bronchodilator therapy and bronchial challenge tests are valuable diagnostic tools for atypical asthma presentations.
    • Prompt treatment with bronchodilators and corticosteroids can effectively manage asthma symptoms, even in non-wheezing patients.