scholarly journals Chest pain in paediatric patients referred to paediatric cardiology clinic at PSCC qassim

2013 ◽  
Vol 25 (2) ◽  
pp. 124
Author(s):  
Ali A. Al-Akhfash ◽  
Abdulrahman A. Almesnid ◽  
Zuhair Aalem ◽  
Suleiman Almesned
Keyword(s):  
Chest Pain ◽  
Paediatric Cardiology ◽  
Paediatric Patients ◽  
Cardiology Clinic

Abstract P263: Symptomatic Post-Acute SARS-CoV-2-Infection Hypertension Syndrome

Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Lauren East ◽  
Zainab Mahmoud ◽  
Amanda Verma
Keyword(s):  
Blood Pressure ◽  
Chest Pain ◽  
Vital Signs ◽  
Wilcoxon Test ◽  
Initial Visit ◽  
Office Visits ◽  
Paired Data ◽  
Cardiology Clinic ◽  
Blood Pressures

Introduction: The Post-COVID Cardiology Clinic at Washington University evaluates and treats patients with ongoing cardiovascular symptoms following acute COVID-19 infection. One clinical manifestation seen in the clinic is an increase in blood pressure, with associated symptoms like chest pain. Our investigation aims to describe the increase in blood pressure seen in symptomatic patients presenting to the Post-COVID Cardiology Clinic. Methods: The study employed a retrospective cohort design of consecutive adult patients who presented between September 2020 to May 2021 with cardiovascular symptoms following COVID-19 infection. Demographic information, symptoms, vital signs, and follow-up visit data were collected for the patients. To determine a baseline blood pressure, two blood pressure readings from office visits prior to COVID-19 infection were averaged. The blood pressure values were compared between baseline and cardiology office visits using a non-parametric Wilcoxon test for paired data. Results: One-hundred patients were included in the cohort (mean age 46.4 years (SD 46.4); 81% (81) female). At the initial visit, there was a significant increase in systolic (median 128 mmHg) and diastolic (median 83.5 mmHg) blood pressure from baseline (systolic median 121.5, p=0.029; diastolic median 76, p<0.001). All patients with an increase in blood pressure reported symptoms like chest pain. In the subset of 36 (36%) patients that have followed up, 35 (97%) patients were prescribed a new anti-hypertensive or required an increased dose of a prior anti-hypertensive at their initial visit. Blood pressures at follow-up were not significantly different from baseline (median systolic delta= 1.0mmHg, diastolic delta= -1.0mmHg; p>0.05), and 83% (30) reported improvement in symptoms. Conclusions: Patients presenting with cardiovascular symptoms post-acute COVID-19 show increased blood pressure when compared to blood pressure prior to infection. During subsequent follow-up appointments, patients showed improvement in their blood pressure and symptoms. While the pathophysiology has yet to be determined, it is likely related to the effects of a proinflammatory state, endothelial dysfunction, dysautonomia, or altered effects of the RAAS.

scholarly journals Behcet`s syndrome with coronary arteritis

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Khurram Ahmad ◽  
Waqas Chishti ◽  
Jawwad Yusuf ◽  
Madiha Jawwad
Keyword(s):  
Chest Pain ◽  
Illicit Drugs ◽  
Gastrointestinal Symptoms ◽  
African American Female ◽  
Her Family ◽  
Labia Minora ◽  
Coronary Arteritis ◽  
Ankle Joints ◽  
Cardiology Clinic ◽  
Artery Disease

Forty nine years old African American Female with Past medical h/o HTN, Behcet`s Syndrome since 1988 with recent flare up of disease with oral and genital ulcers, headache, arthralgia and gastrointestinal symptoms was referred to cardiology clinic with do chest pain for 4 days, reterosternal, non radiating,4/10 in intensity, no aggravation on exertion, relieved by SL nitroglycerine associated with mild SOB, nausea and diaphorersis. Patient denied tobacco, alcohol and illicit drugs. Never had similar chest pain before. Review of system was unremarkable except for Behcet`s Syndrome flare up. Her medications were tenolol, Valsartan, Indocin, ASA, Lortab, Zoloft, Premarin, Triamatrene and Tagamet. Her family history was negative for coronary Artery disease. On physical exam pt was afbrile, heart rate 52/min,blood pressure 140/90, respiratory rate 16/min average built female 3-4 oral mucosal ulcers. Eye exam was unremarkable. Cardiac exam showed normal Sl and S2,no added sounds. Abdomen was soft, non tender and no hepatosplenomegaly. Her Right knee and both ankle joints were mildly tender without signs of effusion. Her genital exam revealed 2-3 small painful ulcers on labia minora. Rest of systemic exam was unremarkable.

Clinical characteristics and causes of chest pain in 380 children referred to a paediatric cardiology unit

2012 ◽  
Vol 23 (3) ◽  
pp. 361-367 ◽  
Author(s):  
Ahmet Sert ◽  
Ebru Aypar ◽  
Dursun Odabas ◽  
Cem Gokcen
Keyword(s):  
Chest Pain ◽  
Physical Examination ◽  
Clinical Characteristics ◽  
Complete Blood Count ◽  
Exercise Stress ◽  
Child Psychiatrist ◽  
Stress Tests ◽  
Paediatric Cardiology ◽  
Premature Cardiovascular Disease ◽  
History Of

AbstractBackgroundChest pain is a common presenting complaint to paediatrics, paediatric cardiology, and paediatric emergency departments. In this study, we prospectively evaluated clinical characteristics and causes of chest pain in children referred to our paediatric cardiology unit.MethodsA total of 380 children were included. Associated symptoms and past and family histories were evaluated. All patients underwent physical examination. The following studies were performed: complete blood count in all patients; fasting lipid profiles in overweight and obese children and children with a family history of premature cardiovascular disease; and electrocardiogram, chest X-ray, and echocardiogram in all patients. If necessary, 24-hour electrocardiogram monitoring or exercise stress tests were performed. Patients with a history of positive psychological findings were evaluated by a child psychiatrist.ResultsThe most common causes of chest pain were musculoskeletal disorders (37.1%), idiopathic chest pain (29.2%), and miscellaneous disorders, for example precordial catch syndrome (15%), respectively. Only 1 of 380 (0.3%) patients had chest pain due to a cardiac disorder. Electrocardiograms were abnormal in 4 of 380 (1.1%) patients. A total of 9 of 380 patients (2.3%) had dyslipidaemia.ConclusionsAlthough a paediatric cardiology referral may provide reassurance to the primary care and emergency department physicians, our results show that cardiac aetiologies for paediatric chest pain are very rare. We think that many patients in our study were adequately evaluated only by careful history, and physical examination. Therefore, we suggest that it may not be necessary to use echocardiogram in the routine evaluation of children with chest pain.

An evaluation of the use of investigations in a nurse-led rapid access chest pain clinic

2021 ◽  
pp. 1-14
Author(s):  
Chun Shing Kwok ◽  
Debbie Jackson ◽  
Sadie Bennett ◽  
Jacopo Tafuro ◽  
Adrian Large ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Chest Pain ◽  
Coronary Intervention ◽  
Service Evaluation ◽  
Pain Clinic ◽  
Common Symptom ◽  
Rapid Access ◽  
Accident And Emergency ◽  
Percutaneous Coronary ◽  
Cardiology Clinic

Background/Aims Chest pain is a common symptom, but its presentation and cause varies widely, making diagnosis a challenge. This study describes the authors' experience of a nurse-led rapid access chest pain clinic, and associated use of investigation and patient outcomes. Methods A retrospective service evaluation of patients referred to a nurse-led rapid access chest pain clinic was performed. Routinely-recorded data on patient demographics, symptoms, comorbidities, medications, cardiology clinic attendances and investigations were collected. In addition, admissions to accident and emergency or inpatient, death, acute myocardial infarction and percutaneous coronary intervention within 1 year were obtained. Results A total of 279 patients were included in the evaluation between January and February 2019. Chest pain was present as a symptom in 92.8% of patients, while 37.6% of patients had shortness of breath. Only 16.8% had typical angina, while 34.4% had atypical angina. The majority (93.9%) had two or fewer cardiology clinic appointments, the most common imaging investigation used was computed tomography coronary angiogram (47.3%) and 8.2% had a stress echocardiogram or invasive angiogram. Approximately one in five patients had a hospital admission within 1 year. The mortality rate within 1 year was 1.4%, but were all non-cardiac causes. Only 3.6% underwent percutaneous coronary intervention and there was only one mortality. Conclusions This service evaluation shows that a nurse-led rapid access chest pain clinic can be safe, efficient and closely adhere to National Institute for Health and Care Excellence guidelines. Many patients do not require unnecessary and potentially harmful investigations and revascularisation rates are low.

Chest pain in children referred to a cardiology clinic

1995 ◽  
Vol 16 (2) ◽  
pp. 69-72 ◽  
Author(s):  
F. S. Tunaoglu ◽  
R. Olgunt�rk ◽  
S. Akcabay ◽  
D. Oguz ◽  
K. G�c�yener ◽  
...  
Keyword(s):  
Chest Pain ◽  
Cardiology Clinic

scholarly journals Evaluation of Alexithymia, Somatosensory Sensitivity, and Health Anxiety Levels in Patients with Noncardiac Chest Pain

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Selma Bozkurt Zincir ◽  
Murat Sunbul ◽  
Esra Aydin Sunbul ◽  
Bahar Dalkilic ◽  
Fatma Cengiz ◽  
...  
Keyword(s):  
Chest Pain ◽  
Health Anxiety ◽  
Self Report ◽  
Noncardiac Chest Pain ◽  
Loss Of Function ◽  
Liaison Psychiatry ◽  
Negative Results ◽  
Somatosensory Amplification ◽  
Somatosensory Sensitivity ◽  
Cardiology Clinic

Objective.Noncardiac chest pain (NCCP) is seen more frequently in young population and in these patients loss of function is evolving in social and professional areas. The aim of the study is to evaluate the levels of anxiety and somatic perception in patients with chest pain presenting to cardiology clinic.Methods.Fifty-one patients with noncardiac chest pain and 51 healthy controls were included in the study. All participants performed self-report based health anxiety inventory (HAI), somatosensory amplification scale (SAS), and Toronto alexithymia scale (TAS).Results.The patient group had significantly higher scores on the SAS, HAI-1, and HAI-T scales compared to controls (P<0.001,P=0.006, andP=0.038, resp.). SAS, HAI-1, and HAI-T scores were significantly higher in female patients than male (P=0.002, 0.036, and 0.039, resp.). There were significant differences in all TAS subscale scores between two groups. Patients, who had total TAS score more than 50, also presented higher levels of health anxiety (P=0.045).Conclusions.Anxiety, somatic symptoms, and the exaggerated sense of bodily sensations are common in patients with NCCP. These patients unnecessarily occupy the cardiology outpatient clinics. These negative results can be eliminated when consultation-liaison psychiatry evaluates these patients in collaboration with cardiology departments.

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