Role of anxiety and depression in adolescents with chest pain referred to a cardiology clinic

2016 ◽  
Vol 27 (1) ◽  
pp. 125-130 ◽  
Author(s):  
Zahra Khairandish ◽  
Leila Jamali ◽  
Saeedeh Haghbin
Keyword(s):  
Chest Pain ◽  
Physical Examination ◽  
Normal Population ◽  
Severe Depression ◽  
Anxiety And Depression ◽  
Detailed History ◽  
Significant Difference ◽  
Cardiology Clinic ◽  
Full Physical Examination

AbstractBackgroundWe carried out this study in order to evaluate the causes of chest pain in teenagers and the role of anxiety and depression in this age group compared with the normal population.MethodsIn this prospective case–control study, all patients aged 11–18 years with chest pain and no history of trauma and referred to a paediatric cardiology clinic from March, 2009–April, 2010 were selected. A chest pain protocol including a detailed history, full physical examination, required blood tests, electrocardiography, and echocardiography was performed for all. The presence of depression and anxiety and their severity were assessed by Beck questionnaires. The patients were compared with age- and sex-matched, randomly selected healthy controls.ResultsIn total, 194 patients with a mean age of 14±2 years were selected. The most frequent presentation was idiopathic chest pain (43.3%), followed by the psychological group (29.9%). These groups had no abnormal points in history, physical, and para-clinical tests. Moderate-to-severe depression was found in 45.9% in the patients group, compared with 17.6% of controls, which was statistically significant (p=0.016). Moreover, anxiety was detected in 67.5% of patients versus 15.4% in controls, which is a statistically significant difference (p=0.009). Cardiac chest pain with 9.27% was the most common type of organic causes.ConclusionChest pain during teenage is more prevalent, but not risky. Undergoing a detailed history and full physical examination can help diagnose the causes in the majority of cases. Given the prevalence of a psychological group as well as role of anxiety and depression in most patients, referring to a psychiatrist is suggested.

Evaluation of Chest Pain in Children

1986 ◽  
Vol 8 (2) ◽  
pp. 56-62
Author(s):  
Steven M. Selbst
Keyword(s):  
Chest Pain ◽  
Physical Examination ◽  
Laboratory Tests ◽  
Good Prognosis ◽  
Detailed History ◽  
Common Complaint ◽  
Complete Physical Examination

Childhood chest pain is a common complaint and often a recurrent, chronic symptom. A detailed history and complete physical examination are the most important aspects of evaluating a child with chest pain. Childhood chest pain has a good prognosis. Laboratory tests should only be ordered if they are indicated on the basis of history and physical examination findings.

Beta Thromboglobulin and Myocardial Infarction

1979 ◽  
Author(s):  
A. Hughes ◽  
S. Daunt ◽  
G. Vass ◽  
J. Wickes
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Chest Pain ◽  
Myocardial Ischaemia ◽  
Normal Population ◽  
Acute Chest Pain ◽  
Specific Protein ◽  
Normal Individuals ◽  
Significant Difference ◽  
Secondary Phenomenon

Beta thromboglobulin. a platelet specific protein liberated during the release reaction, has been measured in normal individuals (n=285),and in patients presenting with acute chest pain. The latter group consisted of those with acute myocardial infarction (n=19),those with acute myocardial ischaemia (n=21),and those with chest pain of non cardiac origin (n-7). In the patient groups beta thromboglobulin was measured on admission to hospital, and thereafter daily until the patient was discharged. There was no significant difference between the normal population (mean 22.5 ng/ml),and the patients with with non cardiac chest pain (mean .24 ng/ml). There was a significant difference between the normal population and the patients with acute myocardial infarction (mean 34 ng/ml),and acute myocardial ischaemia (mean 33 ng/ml), p<0.001. There was also a significant difference between these two groups and the patients with non cardiac chest pain, p<0.01.We would conclude that platelet activation occurs in acute myocardial infarction and ischaemia, but it is not clear if this is a primary or a secondary phenomenon.

scholarly journals Breast Implants in A Woman Associated With Low-Voltage Electrocardiogram (ECG)

2021 ◽  
Vol 2 (1) ◽  
pp. 1-2
Author(s):  
Abdullah Kaplan* Abdullah Kaplan*
Keyword(s):  
Chest Pain ◽  
Physical Examination ◽  
Low Voltage ◽  
Breast Implant ◽  
Breast Implants ◽  
Large Prospective Study ◽  
Atypical Chest Pain ◽  
Cardiology Clinic ◽  
History Of ◽  
Electrocardiogram Ecg

Breast Implants (BIs) in women are associated with several Electrocardiogram (ECG) modifications. However, the association between BIs and low-voltage ECG has not been reported yet. A 44-year-old woman with a history of breast implant surgery visited our outpatient cardiology clinic complaining of atypical chest pain. A standard ECG showed low voltage in all precordial and most of the limb leads. Physical examination and echocardiography showed no pathology. Nothing other than BIs was found as a cause of low-voltage ECG in the woman. Breast implant-induced ECG modification can mislead clinicians resulting in diagnostic challenges and unnecessary tests. Low-voltage ECG is one of the modifications associated with BIs, which has not been reported before. A large prospective study is required to investigate the impacts of BIs on ECG thoroughly.

Nonsuicidal Self-Injurious Behavior: The Role of Shame, Guilt, Anxiety, and Depression

2012 ◽  
Author(s):  
Susan E. Vanderhei ◽  
Sarah M. Waldron ◽  
Kiara Elkin ◽  
Tamra Rich ◽  
Lisa Meier ◽  
...  
Keyword(s):  
Anxiety And Depression

Detection of Circulating Tissue Factor and Factor VII in a Normal Population

1996 ◽  
Vol 75 (05) ◽  
pp. 772-777 ◽  
Author(s):  
Sybille Albrecht ◽  
Matthias Kotzsch ◽  
Gabriele Siegert ◽  
Thomas Luther ◽  
Heinz Großmann ◽  
...  
Keyword(s):  
Tissue Factor ◽  
Normal Population ◽  
Mean Value ◽  
Factor Vii ◽  
Significant Difference ◽  
Age Dependent ◽  
The Mean ◽  
Highly Correlated ◽  
And Gender

SummaryThe plasma tissue factor (TF) concentration was correlated to factor VII concentration (FVIIag) and factor VII activity (FVIIc) in 498 healthy volunteers ranging in age from 17 to 64 years. Immunoassays using monoclonal antibodies (mAbs) were developed for the determination of TF and FVIIag in plasma. The mAbs and the test systems were characterized. The mean value of the TF concentration was 172 ± 135 pg/ml. TF showed no age- and gender-related differences. For the total population, FVIIc, determined by a clotting test, was 110 ± 15% and the factor VIlag was 0.77 ± 0.19 μg/ml. FVII activity was significantly increased with age, whereas the concentration demonstrated no correlation to age in this population. FVII concentration is highly correlated with the activity as measured by clotting assay using rabbit thromboplastin. The ratio between FVIIc and FVIIag was not age-dependent, but demonstrated a significant difference between men and women. Between TF and FVII we could not detect a correlation.

F.VIII R:Ag in Hepatitis

1979 ◽  
Author(s):  
R. Kotitschke ◽  
J. Scharrer
Keyword(s):  
Chronic Hepatitis ◽  
Blood Donors ◽  
Blood Donation ◽  
Normal Population ◽  
Rabbit Antiserum ◽  
Two Dimensional ◽  
Plastic Plate ◽  
Significant Difference ◽  
Acute Hepatitis B ◽  
The One

F.VIII R:Ag was determined by quantitative immunelectrophoresis (I.E.) with a prefabricated system. The prefabricated system consists of a monospecific f.VIII rabbit antiserum in agarose on a plastic plate for the one and two dimensional immunelectrophoresis. The lognormal distribution of the f.VIII R:Ag concentration in the normal population was confirmed (for n=70 the f.VIII R:Ag in % of normal is = 95.4 ± 31.9). Among the normal population there was no significant difference between blood donors (one blood donation in 8 weeks; for n=43 the f.VIII R:Ag in % of normal is = 95.9 ± 34.0) and non blood donors (n=27;f.VIII R:Ag = 94.6 ± 28.4 %). The f.VIII R:Ag concentration in acute hepatitis B ranged from normal to raised values (for n=10, a factor of 1.8 times of normal was found) and was normal again after health recovery (n=10, the factor was 1.0). in chronic hepatitis the f.VIII R:Ag concentration was raised in the majority of the cases (for n=10, the factor was 3.8). Out of 22 carrier sera 20 showed reduced, 2 elevated levels of the f.VIII R:Ag concentration. in 5 sera no f.VIII R:Ag could be demonstrated. The f.VIII R:Ag concentration was normal for n=10, reduced for n=20 and elevated for n=6 in non A-non B hepatitis (n=36). Contrary to results found in the literature no difference in the electrophoretic mobility of the f.VIII R:Ag was found between hepatitis patients sera and normal sera.

Role of Teachers in Building the Concept of Sustainable Development: Success or Failure

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Ayaz Muhammad Khan ◽  
Amber Jamshaid ◽  
Tayyibah Roohi ◽  
Amna Ramzan
Keyword(s):  
Sustainable Development ◽  
Primary School ◽  
Sampling Technique ◽  
School Teachers ◽  
Primary School Teachers ◽  
Primary Level ◽  
Significant Difference ◽  
Role Of Teachers ◽  
Major Factors

Sustainable Development (SD) is a rich, challenging and thought-provoking construct in social sciences. The main purpose of this paper was to identify and explore the role played by primary school teachers in building up the idea of sustainable development (SD) among students. This paper was intended to identify that how a teacher can successfully execute the concept of SD by influencing students’ minds at the primary level. Quantitative survey technique were utilized for data collection. All the primary school teachers of Lahore division comprised the population of the study. Through multistage sampling technique, 352 primary school teachers were selected as participants of the study. A self-developed SD questionnaire incorporating four major factors (teachers’ awareness, pedagogy, curricular and co-curricular activities) with Cronbach’s alpha value = .93 was used to measure the role of teachers in building the sustainability concept among students at primary level. The results indicated a significant mean score difference among SD scores of teachers, sector wise (private and public). Furthermore, the results also reconnoitered the significant difference (p=.04) between the mean scores of female and male teachers in building up the SD concept in students’ minds.

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