Introduction: Pediatric precordial pain is a frequent cause for pediatric consultation in the emergency room (ER) services - about 0.3-0.6% of all consultations - and it can cause a lot of stress to families who tend to associate it with a more severe pathology, this pathology mostly presents itself between the ages of 11 and 14 years.
Objective: The objective of this study was to determine the precordial pain's etiology and to analyze the semiology and approach toward the ailment by ER service in a private hospital.
Methods: A retrospective, observational, descriptive, transversal study that took place from January 2014 to May 2017.
Results: A total of 48 precordial pain patients were identified, four of them had a positive family background. Most of the pain was not referred as associated to symptoms, and the type of pain was non-specific in 62% of the cases. The most frequent duration of the pain was < 8 h in 54.1% and without any irradiation. There was only one case associated with the presence of cardiac precordial pain pathology regarding pulmonary hypertension; this signified an incidence of 2%, similar to what has been previously published in other articles.
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http://dx.doi.org/10.24875/ACM.M19000004 | DOI Listing |
J Electrocardiol
January 2025
Department of Cardiology, Clinical Sciences, Lund University, Lund, Sweden.
ECG in Brugada syndrome (BrS) is characterized by a ST-segment elevation in the right precordial leads. Overlap between ST-segment changes in BrS and ischemia may lead to diagnostic challenges. We report a case of a male patient presented with recurrent chest pain episodes and ST elevation in the right precordial leads consistent with Brugada ECG pattern type 1 and was clinically diagnosed with BrS at the age of 30 years.
View Article and Find Full Text PDFAm J Case Rep
November 2024
Department of Heart Failure, First Affiliated Hospital of Xijiang Medical University,, Urumqi, Xinjiang, China.
BACKGROUND Priapism is a persistent penile erection that lasts longer than 4 hours. The most common causes of priapism are ischemia and the effects of drugs, including PDE-5 inhibitors, such as sildenafil and anticoagulants. Here, we describe the presentation and management of a 50-year-old man with priapism following coronary artery angiography for the investigation of ischemic heart disease (IHD).
View Article and Find Full Text PDFWest Afr J Med
July 2024
Cardiology Unit, Department of Medicine, University of Ibadan, Nigeria. E-mail: Tel. +2348067747121.
Background: Cardiac disorders are found in about half of cases of Noonan syndrome (NS). The most common congenital heart diseases in this syndrome include pulmonary valvular stenosis obstructive or nonobstructive hypertrophic cardiomyopathy (17%). Biventricular hypertrophic cardiomyopathy (HCM) is very rare in this condition.
View Article and Find Full Text PDFJ Int Med Res
September 2024
Department of Ultrasound, Tianjin Huanhu Hospital, Tianjin, China.
The hallmark of Wellens' syndrome is a distinct modification in the precordial T wave of the electrocardiogram (ECG), which usually indicates substantial stenosis of the proximal left anterior descending artery (LAD). Patients with Wellens' syndrome commonly do not exhibit any symptoms of chest pain. This current case report describes a male patient in his early 60s who presented with sporadic chest pain who was subsequently diagnosed with Wellens' syndrome-related electrocardiographic abnormalities.
View Article and Find Full Text PDFHeliyon
September 2024
The Third Clinical College, Shanxi University of Chinese Medicine, Taiyuan, Shanxi 030024, China.
The de Winter electrocardiogram (ECG) pattern indicates severe stenosis or occlusion of the left anterior descending artery (LAD). We present a 72-year-old female with 1.5-h chest pain.
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