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.

Congenital total absence of the pericardium: A case report

Open Medicine ◽  
2010 ◽  
Vol 5 (3) ◽  
pp. 315-317
Author(s):  
Arezou Zoroufian ◽  
Shapour Shirani ◽  
Behareh Eslami ◽  
Mohammad Sahebjam
Keyword(s):  
Physical Activity ◽  
Case Report ◽  
Chest Pain ◽  
Congenital Heart ◽  
Axial Tomography ◽  
Atypical Chest Pain ◽  
Total Absence ◽  
History Of ◽  
Computerized Axial Tomography ◽  
Tomography Scan

AbstractWe report the case of a 52-year-old woman who presented with a several-year history of palpitation (exacerbated by emotional stress and physical activity) and recent development of atypical chest pain. An investigation was undertaken to diagnose the patient’s problem and to recommend the best possible therapy. Transthoracic echocardiography and a computerized axial tomography scan showed evidence of complete absence of the pericardium, which is a rare congenital heart defect.

Breastfeeding After Breast Implant Surgery

2020 ◽  
Vol 11 (4) ◽  
pp. 202-206
Author(s):  
Catherine Watson Genna
Keyword(s):  
Milk Production ◽  
Breast Augmentation ◽  
Breast Surgery ◽  
Breast Implant ◽  
Significant Risk ◽  
Breast Implants ◽  
Augmentation Mammaplasty ◽  
Implant Surgery ◽  
History Of ◽  
Type Of Surgery

Breast surgery increases the risk for difficulties with milk production and breastfeeding. Research on lactation outcomes of breast augmentation with implants is reassuring, but reveals a significant risk of low milk production that varies with the type of surgery and position of the implants. Understanding the potential effects of breast implants on breastfeeding can help lactation professionals optimize outcomes for families with a history of augmentation mammaplasty.

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.

scholarly journals Atypical Chest Pain: An Unusual Presentation of Spinal Metastasis due to Penile Carcinoma

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Sarah Pywell ◽  
Shumaila Hasan ◽  
Mohammad Zain Sohail ◽  
Georgios Mamarelis ◽  
Cameron Dott ◽  
...  
Keyword(s):  
Chest Pain ◽  
Spinal Metastasis ◽  
Spinal Metastases ◽  
Cord Compression ◽  
Clinical Suspicion ◽  
Unusual Presentation ◽  
Penile Carcinoma ◽  
Atypical Chest Pain ◽  
History Of ◽  
Possible Cause

Spinal metastases may present in a myriad of ways, most commonly back pain with or without neurology. We report an unusual presentation of isolated atypical chest pain preceding metastatic cord compression, secondary to penile carcinoma. Spinal metastasis from penile carcinoma is rare with few cases reported. This unusual presentation highlights the need for a heightened level of clinical suspicion for spinal metastases as a possible cause for chest pain in any patients with a history of carcinoma. The case is discussed with reference to the literature.

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.

scholarly journals Unusual Case of Anaplastic Large Cell Lymphoma Presenting as a Breast Mass in a Patient with no History of Breast Implants

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Yana Ivashkevich ◽  
Yaroslav Chernov ◽  
Denis Chinenov ◽  
Evgeniy Shpot ◽  
Alexander A. Bessonov ◽  
...  
Keyword(s):  
Breast Tissue ◽  
Breast Implant ◽  
Malignant Neoplasm ◽  
Breast Implants ◽  
Large Cell ◽  
Breast Mass ◽  
Lower Percentage ◽  
Primary Lymphoma ◽  
Malignant Neoplasms ◽  
History Of

Adenocarcinoma is the most common malignant neoplasm involving breast tissue. In contrast to carcinomas, the other types of malignant neoplasms involving the breast are relatively uncommon. One of the examples of this rare entity is lymphoma. Traditionally, non-Hodgkin lymphomas (NHL) involving the breast are divided into primary lymphoma of the breast and systemic lymphoma, although the distinction could be challenging. Most of NHL involving breast tissue have B cell origin; T cell NHL represents less than 20% of all lymphoma cases. Anaplastic large cell lymphomas (ALCL) involving the breast accounts for even lower percentage of cases. Similar to ALCL involving other sites, there are several main types of ALCL identified: primary cutaneous ALCL and systemic ALCL, which is subdivided into ALK positive and ALK negative subtypes. Relatively recently, an additional distinct subtype of ALK-negative ALCL was described, which is associated with textured breast implants and needs to be considered as a differential diagnosis if patient has a history of breast implants. Here, we report a case of ALCL presented as a breast mass without history of breast implant and discuss similar cases published in the literature.

Atypical Chest Pain Syndrome in Patients With Breast Implants

1994 ◽  
Vol 87 (10) ◽  
pp. 978-984 ◽  
Author(s):  
LEE B. LU ◽  
BRITTA OSTERMEYER SHOAIB ◽  
BERNARD M. PATTEN
Keyword(s):  
Chest Pain ◽  
Pain Syndrome ◽  
Breast Implants ◽  
Atypical Chest Pain ◽  
Chest Pain Syndrome

scholarly journals The de Winter’s pattern revisited: a case series

2020 ◽  
Author(s):  
Thadathilankal-Jess John ◽  
Alfonso Pecoraro ◽  
Hellmuth Weich ◽  
Lloyd Joubert ◽  
Bradley Griffiths ◽  
...  
Keyword(s):  
Chest Pain ◽  
Early Recognition ◽  
Case Series ◽  
Coronary Intervention ◽  
Artery Occlusion ◽  
Percutaneous Coronary ◽  
History Of ◽  
St Elevation ◽  
Electrocardiogram Ecg ◽  
The Continuum

Abstract Background The de Winter’s electrocardiogram (ECG) pattern signifying proximal left anterior descending (LAD) artery occlusion was first described in 2008. The ECG changes were thought to be static and mechanisms for this were suggested. In addition, the optimal management of these patients was reported to be via a primary percutaneous coronary intervention (PCI) strategy. Case summary Case 1: A 48-year-old gentleman presented with a 2-h history of ischaemic chest pain with initial de Winter’s pattern on ECG. This progressed to anterior ST-elevation myocardial infarction (STEMI) complicated by ventricular fibrillation. Emergency angiography revealed a mid-vessel LAD occlusion which was successfully reperfused. Case 2: A 34-year-old female presented with a 2-h history of ischaemic chest pain with initial ECG showing a de Winter’s pattern. Due to concerns of performing PCI timeously, a pharmacoinvasive strategy of reperfusion was adopted with resolution of the de Winter’s pattern. Urgent angiography revealed a proximal LAD lesion which was successfully stented. Discussion The two cases highlight that the de Winter’s pattern may in fact not be static, but rather lie along the continuum of ischaemia and may evolve into STEMI. In addition, we provide further evidence that if primary PCI cannot be offered in a timeous manner, thrombolytic therapy may be considered in such patients. The de Winter’s pattern remains a high-risk ECG pattern that requires early recognition and intervention.

Looking for ischemia in patients with stable atypical chest pain: useful or useless?

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
D Cosmi ◽  
B Mariottoni ◽  
F Cosmi
Keyword(s):  
Risk Factors ◽  
Chest Pain ◽  
Coronary Angiography ◽  
Functional Tests ◽  
Stress Tests ◽  
Atypical Chest Pain ◽  
History Of ◽  
Coronary Events ◽  
Nuclear Stress Testing

Abstract Introduction Patients with stable atypical chest pain (SACP) represent more than half of those with chest pain who require an outpatient evaluation. It's not clear if in these patients the prognosis is linked more to the optimal control of risk factors and to the research and treatment of any unfavorable anatomical alterations (common trunk obstruction, proximal involvement of VAT, multivessel disease with systolic dysfunction of the left ventricle) rather than to ischemia assessment with functional tests. Methods In the past 20 years we have evaluated the lifestyles of 40,422 outpatient patients. 9% (3,638) had a history of stable chest pain with no history of previous cardiovascular events. In the 1,322 patients (36%) with non-anginal chest pain, no diagnostic examination was performed after the electrocardiogram (ECG) and the echocardiogram. 462 patients (13%) had typical chest pain, and 422 of them performed a coronary angiography. The other 1,854 (51%) patients with SACP underwent functional testing for ischemia (exercise ECG, ecostress, nuclear stress testing). They were also stratified according to the presence of 4 main modifiable lifestyles (cigarette smoking, diet, physical activity, obesity) and the 3 main cardiovascular risk factors (hypercholesterolemia, hypertension, diabetes). Results In the SACP group, the search for ischemia was positive in 192 patients (10.4%); 178 of them underwent coronary angiography, which demonstrated the presence of lesions with indication to revascularization to improve the prognosis, according to the ESC 2018 guidelines (Class IA), in 21 patients (11.7%). In the remaining 1,662 patients functional tests were negative. We performed one-year follow-up. Major coronary events (fatal and non-fatal infarction, sudden death) occurred in 22 patients (1.3%) with negative stress tests and at least 3 risk factors or bad lifestyles (especially smoking, diabetes, high LDL). In patients with positive stress tests, there were 3 events, (1.5%), that occurred among patients with at least 3 risk factors, too. No events occurred in patients with fewer than 3 risk factors or lifestyles in either group. Conclusions In patients with SACP and negative functional test the risk of major coronary events remains 1.3% at 1 year of follow-up; the events occurr in patients with 3 or more factors or lifestyle at risk (especially smoking, diabetes, elevated LDL). The prognosis is similar to those with positive ischemia research. The improvement of the outcomes should be entrusted more to a close control of the risk factors, to an optimal improvement of the lifestyles and to an anatomical evaluation (coronary CT) for the evaluation of those lesions that improve the prognosis rather than the search for ischemia which appears futile from a diagnostic and prognostic point of view as well as a source of economic waste. Funding Acknowledgement Type of funding source: None

scholarly journals P1329 An unexpected finding in a patient wth previous coronary artery bypass grafts and atypical chest pain

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
S Karanikas ◽  
A Pavlidis ◽  
S Hamid ◽  
B Wasan ◽  
C Shakespeare ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Vein Graft ◽  
Artery Bypass ◽  
Previous History ◽  
Coronary Artery Bypass Grafts ◽  
Unexpected Finding ◽  
Atypical Chest Pain ◽  
History Of

Abstract A 79-year-old male with a previous history of ischaemic heart disease and previous coronary artery bypass grafting (CABG) in 2005 presented with atypical chest pain. He also had past medical history of hypertension, hyperlipidaemia and bladder diverticulum which has been previously investigated by an abdominal CT. The latter had showed an incidental finding of what was reported to be a large pericardial cyst. Despite poor acoustic window, transthoracic echocardiography revealed a spherical echo–free structure in the area of the right atrioventricular groove (Figure 1, panel A white arrow). As the patient was too claustrophobic to undergo cardiac MRI, he was subsequently referred for a cardiac CT in order to further investigate the cystic mass and assess graft patency. The CT revealed an occluded left internal mammary artery (LIMA) to the LAD, severe left main (LM) and proximal LAD disease, a patent vein graft to an obtuse marginal (OM) branch and identified a largely thrombosed giant aneurysm (62x65x89 mm) of an otherwise patent vein graft to the RCA (Figure 1, panels B–E, white arrows point to the thrombosed and yellow arrows point to the non-thrombosed segments of the vein graft aneurysm). Coronary angiography confirmed occlusion of the LIMA, patency of the OM vein graft and identified only the non-thrombosed segment of the RCA vein graft aneurysm (Figure 1, panel F). The case was discussed at an MDT meeting and it was decided to proceed with LM and LAD stenting, and initially conservative management and close surveillance of the RCA vein graft aneurysm as the patient was high–risk for repeat CABG due to age, frailty and other comorbidities. Abstract P1329 Figure 1

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