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Is the bedside on-site ultrasonography for elderly patients with chest pain sufficiently performed?: focused on non-traumatic patients who visited EDs

Ju J, Kang B, Kim C, Shin H, Cho Y, Lee J

  • KMID: 2519739
  • J Korean Soc Emerg Med.
  • 2021 Aug;32(4):344-352.
Objective: The bedside on-site ultrasound examination is a very useful diagnostic test for medically ill elderly emergency patients. However, it is not known whether it is being sufficiently used in...
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Cervical Angina: A Literature Review on Its Diagnosis, Mechanism, and Management

Feng F, Chen X, Shen H

Cervical angina has been defined as chest pain that resembles true cardiac angina but originates from the disorders of the cervical spine. Thus, physicians and spine surgeons alike should raise...
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Acute Anisakiasis at the Esophagogastric Junction Mimicking Angina Pectoris

Joo DC, Kim GH, Lee MW

Anisakiasis is a fish-borne zoonotic disease caused in humans by the ingestion of raw or undercooked seafood infected by anisakid larvae. Anisakiasis usually causes abdominal pain, nausea, and vomiting. However,...
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Using Cardiac Magnetic Resonance Imaging to Evaluate Patients with Chest Pain in the Emergency Department

Cavalier JS, Klem I

Chest pain is one of the most common presenting symptoms in the emergency department (ED). Among patients with abnormal troponins, it is imperative to quickly and accurately distinguish type 1...
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Validation and modification of HEART score components for patients with chest pain in the emergency department

Kim MJ, Ha SO, Park YS, Yi JH, Yang WS, Kim JH

Objective This study aimed to clarify the relative prognostic value of each History, Electrocardiography, Age, Risk Factors, and Troponin (HEART) score component for major adverse cardiac events (MACE) within 3...
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The Role of High Resolution Manometry in Non-Cardiac Chest Pain

Jang WY, Kim SW, Lee JW, Lee JY

The most common cause of noncardiogenic chest pain is gastroesophageal reflux disease, and other esophageal motility disorders are also frequent. Esophageal manometry is important for diagnosing esophageal motility disease. Recently,...
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Determinants of depression in non-cardiac chest pain patients: a cross sectional study

Roohafza H, Yavari N, Feizi A, Khani A, Saneian P, Bagherieh S, Sattar F, Sadeghi M

Background: Non-cardiac chest pain (NCCP) is a common patient complaint imposing great costs on the healthcare system. It is associated with psychological factors such as depression. The aim of the...
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Eosinophilic Esophagitis with Angina Pectoris

Son MY, Kim SE, Park SJ, Park MI, Moon W, Kim JH, Jung K, Choi GS, Im SI

Eosinophilic esophagitis (EoE) is an immune or antigen-mediated chronic inflammatory esophageal disorder that is relatively rarein Asian countries. The main symptoms of EoE are dysphagia and food impaction. Although chest...
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Etiology and treatment of chest pain in children and adolescents

Yoon KL

Chest pain is a very common symptom in pediatric patients. Although children with chest pain are relatively unlikely to be suffering from significant cardiac diseases, it is important not to...
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Therapeutic Response to 20 mg of Esomeprazole Twice Daily in Patients with Gastroesophageal Reflux Disease-related Non-cardiac Chest Pain: An Open-Label Randomized Pilot Study

Choi JK, Shim HI, Shin CM, Yoon H, Park YS, Kim N, Lee DH

Background/Aims: Non-cardiac chest pain (NCCP) is defined as recurrent angina pectoris-like pain without evidence of coronary heart disease, and is usually related to esophageal diseases, such as gastroesophageal reflux disease...
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Gender differences in the presentation of chest pain in obstructive coronary artery disease: results from the Korean Women’s Chest Pain Registry

Cho DH, Choi J, Kim MN, Kim HL, Kim YH, Na JO, Jeong JO, Yoon HJ, Shin MS, Kim MA, Hong KS, Shin GJ, Park SM, Shim WJ

Background/Aims: Chest pain in patients with obstructive coronary artery disease (OCAD) is affected by several social factors. The gender-based differences in chest pain among Koreans have yet to be investigated. Methods:...
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Cervical Arthroplasty in the Treatment of Cervical Angina: Case Report and Review of the Literature

Jammal OMA, Diaz-Aguilar LD, Srinivas S, Plonsker J, Sahyouni R, Pham MH

Cervical angina is an often-overlooked etiology of noncardiac chest pain that may mimic true angina pectoris but is due to cervical spine disease. Diagnosis can be difficult, and treatment ranges...
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Reliability of chest pain risk scores in cancer patients with suspected acute coronary syndrome

Alyeşil C, Yilmaz S, Özturan , Pekdemir M, Yaka E, Doğan N

Objective The history, electrocardiogram, age, risk factors, troponin (HEART), the thrombolysis in myocardial infarction (TIMI), and Global Registry of Acute Coronary Events (GRACE) scores are useful risk stratification tools in...
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The predictive value of HEART score for acute coronary syndrome and significant coronary artery stenosis

Han C, Chung H, Lee Y, Jang HY, Cho YS, Park J, Kim SI

Objective Rapid determination of acute coronary syndrome (ACS) in the emergency department (ED) is very important for patients presenting with ischemic symptoms. The aim of this study was to determine...
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Clinical features of adolescents who visited the emergency department with chest discomfort: the importance of recognizing underlying medical conditions

Kim J, Park E, Park M, Cho J, Son MH

Purpose: We aimed to evaluate the clinical features of adolescents who visit emergency departments (EDs) with chest discomfort, and analyze the implications of underlying medical conditions for the development of...
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Absolute Change in High-Sensitivity Cardiac Troponin I at Three Hours After Presentation is Useful for Diagnosing Acute Myocardial Infarction in the Emergency Department

Kim JW, Kim H, Yun YM, Lee KR, Kim HJ

Background: A rise and/or fall in cardiac troponin value with at least one value above the 99th percentile upper reference limit is essential for acute myocardial infarction (AMI) diagnosis. We...
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Multicenter observational study on the reliability of the HEART score

Parenti N, Lippi G, Bacchi Reggiani ML, Luciani A, Cavazza M, Pietrangelo A, Vegetti A, Brugioni L, Bonfanti L, Cervellin

OBJECTIVE: To rapidly and safely identify the risk of developing acute coronary syndrome in patients with chest pain who present to the emergency department, the clinical use of the History,...
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Potential impact of cardiology phone-consultation for patients risk-stratified by the HEART pathway

Monahan K, Pan M, Opara C, Yiadom MY, Munoz D, Holmes BB, Stephen D, Swiger KJ, Collins SP

OBJECTIVE: Bedside consultation by cardiologists may facilitate safe discharge of selected patients from the emergency department (ED) even when admission is recommended by the History, Electrocardiogram, Age, Risk factors, Troponin...
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Efficacy of Computerized Cognitive Behavioral Therapy in Individuals with Non-Cardiac Chest Discomfort : Review and Suggestions for a New Protocol

Lyoo IK, Kim J, Kim JE

Since non-cardiac chest discomfort (NCCD) can result in substantial healthcare burden and lower quality of life, interventions such as cognitive behavioral therapy (CBT) have been investigated for the relief of...
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Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis

Kang SH, Baeg MK, Ko SH, Hwang H, Yi SY, Moon SJ, Park J

Chest pain in kidney transplant patients is usually caused by cardiac or pulmonary problems. However, it may be rarely caused by opportunistic esophageal infections. A 66-year-old female kidney transplant recipient...
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