Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0008031 (chest pain)
 17,248 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Primary tracheal tumors are rare. Typically slow growing, they present late in the course of disease, with obstructive respiratory symptoms. A 25-year-old man developed external substernal chest pain and pressure with dyspnea that were relieved with rest. Noninvasive evaluation identified a tracheal tumor, adenoid cystic carcinoma by biopsy, which was previously undescribed as a cause of pseudo-angina pectoris. The patient's evaluation, management, and 20-month follow-up are presented. A mechanism for the patient's noncardiac exertional chest pain is proposed. Previous experience with adenoid cystic carcinomas of the trachea is reviewed.
Mil Med 1990 Sep
PMID:Adenoid cystic carcinoma of the trachea--a cause of pseudo-angina pectoris. 217 Aug 67

The objective of this study was to define the changes in serum creatine kinase (CK) and creatine kinase-MB isoenzyme (CK-MB) activities following endomyocardial biopsy. Ten cardiac transplant recipients underwent routine surveillance endomyocardial biopsy via the right internal jugular vein with single-use disposable bioptomes. Serum CK and CK-MB levels were measured at baseline and post-biopsy at 15, 30, and 45 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16, 20, and 24 hours. There was no significant increase in serum total CK after biopsy. No measurable change in CK-MB was observed in 40% of patients. CK-MB increased significantly in the remaining patients (N = 6) at 30 minutes (p < 0.05), and continued to rise to a peak at 4 hours post-biopsy, after which CK-MB gradually decreased to baseline. However, the increase in CK-MB did not meet criteria for the diagnosis of myocardial necrosis, hence should not be confused with the change in CK-MB occurring with myocardial infarction. These findings suggest that serum CK-MB activity is useful in the differential diagnosis of chest pain in cardiac transplant patients in the setting of recent biopsy.
Mil Med 1997 Jan
PMID:Serum creatine kinase kinetics after endomyocardial biopsy in cardiac transplant patients. 900 4

Two hundred one consecutive adult admissions to a 3-bed Special Care Unit in a 25-bed military hospital were scored using APACHE II (Acute Physiology and Chronic Health Evaluation). Outcome measures included APACHE II scores and mortality predictions; active intensive care interventions; transfers for specialized care; and mortality. Although higher scores generally reflected the need for intensive care intervention, admissions with nondiagnostic chest pain had scores that did not accurately predict their course. This finding could be explained by bias in the original APACHE case mix and by the need for further subclassification of cardiovascular disease. APACHE II scoring can be applied in small intensive care settings. Scoring criteria and logistic regression equations may need to be customized accordingly.
Mil Med 1997 Jun
PMID:Application of a prognostic scoring system to critically ill patients in a small military facility. 918 63

The purpose of the present study was to delineate a health profile of professional Danish army personnel. Two-hundred twenty officers, noncommissioned officers, and gunners on active duty at Varde Barracks, housing the South Jutland Artillery Regiment and the Danish Army Artillery School, were asked about their physical and psychological health, interpersonal relations, and working conditions as well as their dietary, drinking, and smoking habits. Measurements were made of resting pulse rate, blood pressure, height, weight, waist and hip girth, and pulmonary function. The ratio of waist-to-hip girth and body mass index (BMI) were calculated. Psychological well-being was evaluated using the 12-item version of the General Health Questionnaire (GHQ). Psychosomatic symptoms were frequently reported, but very few of those surveyed appeared to have psychiatric disorders as measured by the GHQ. Also, somatic health problems were frequently reported, the most frequent being lower-back pain, mild chest pain, and sensory disorders. Differences in interpretation and reporting of "lasting health problems" may explain the relatively high score for this question. The interpersonal relations, both upward and downward in the hierarchy rank order, received high scores. Compared with the general population, alcohol consumption was very low, whereas smoking-in particular heavy smoking-was much more frequent among professional Danish army personnel. Lung function testing showed significantly poorer mean values of forced expiratory volume in 1st second of expiration and mean forced expiratory flow 25 to 75% of forced vital capacity among smokers compared with nonsmokers, although the mean values for the whole group of both smokers and nonsmokers were well above reference values for all lung function parameters. The frequency of moderately overweight individuals (25 < BMI < or = 30) was significantly higher among the male army personnel than in the general population, whereas this was not the case for obesity (BMI > 30). Abdominal obesity, regarded as an independent risk factor for the development of ischemic heart disease, stroke, diabetes, hypertension, and all-cause mortality, was present in 5%, and 3% belonged to the highest-risk group by having a low BMI as well as abdominal obesity.
Mil Med 1997 Jun
PMID:Health profile of Danish army personnel. 918 68

Acute dissecting thoracic aortic aneurysm is a rare cause of chest pain in young adults. Patients require prompt surgical treatment to reduce the high risk of early mortality. This report describes the case of a young Army officer who developed a dissecting aortic aneurysm in Mogadishu, Somalia, during Operation Continue Hope. Moving the patient from an isolated hostile country to a location where definitive surgical treatment could be quickly performed presented a significant challenge. Military physicians who may be deployed to isolated locations should be familiar with this unusual cause of chest pain and be prepared to rapidly evacuate patients to facilities that can treat them.
Mil Med 1997 Aug
PMID:Acute dissecting aortic aneurysm in an operational environment. 927 13

This case study describes myocardial ischemia and stunning after the topical application of phenylephrine-soaked pledgets (0.25%) in a 63-year-old female undergoing elective endoscopic sinus surgery. The patient had no previous history of cardiovascular disease or illicit drug use. Transient myocardial ischemia was associated with acute hypertension, chest pain, and S-T segment changes 4 minutes after pledget placement. Angiography revealed normal coronary blood flow and severe left ventricular systolic and diastolic dysfunction. Follow-up echocardiography demonstrated improved left ventricular function within 1 week and total resolution of dysfunction by 4 weeks after ischemia.
Mil Med 1997 Dec
PMID:Myocardial ischemia and stunning induced by topical intranasal phenylephrine pledgets. 943 94

Delayed hemothorax after blunt trauma is a rare, significantly morbid entity described in the current literature associated with displaced rib fractures. This report describes a case of delayed hemothorax after blunt trauma without rib fracture. The patient presented to a routine clinic appointment 72 hours after injuring himself while snowboarding. Chest radiographs at initial visit were negative for significant pathology. Eight hours later, the patient presented again with worsening chest pain and dyspnea. Repeat radiographs revealed a large right-sided hemothorax. The patient was treated with tube thoracostomy and remained an inpatient for 6 days. This case is unique because, unlike previously reported delayed hemothorax after blunt trauma, this patient had no evidence of rib fractures.
Mil Med 2003 Jun
PMID:Delayed hemothorax after blunt trauma without rib fractures. 1283 46

The objective of this study was to delineate an efficient and effective diagnostic approach in evaluating a patient with weight loss and a posterior mediastinal mass. This case demonstrates the evaluation and management of a 22-year-old Army private with weight loss, chest pain, and a posterior mediastinal mass on chest X-ray. The importance of obtaining a thorough travel history to formulate the differential diagnosis is highlighted.
Mil Med 2004 Feb
PMID:A 22-year-old Army private with chest pain and weight loss. 1504 Jun 41

This article describes the decision-making processes regarding seeking treatment for the symptom of chest pain in a population of combat veterans with post-traumatic stress disorder and panic disorder. Qualitative methods and standardized tools were used to explore the prehospital experiences of combat veterans who met diagnostic criteria for post-traumatic stress disorder, panic disorder, and admission to a coronary care unit for the symptom of chest pain. Semistructured audiotaped interviews were conducted. Obtaining medical treatment for the chest pain was dependent on internal and external motivating forces outweighing internal and external restraining forces in the decision-making process. The experience of military training influenced responses because of the expectation of self-reliance. A conceptual model emerged from the data that described the influences and restraints in seeking medical treatment.
Mil Med 2006 Jun
PMID:Chest pain among combat veterans: a conceptual framework. 1680 24

Chest pain with electrocardiographic changes is usually a life-threatening presentation of cardiac ischemia. There are, however, a variety of noncardiac conditions that have been reported to mimic these clinical and electrocardiographic changes. An Asian woman presented with chest pain and ST segment elevations in the distribution of the left anterior descending artery. She had persisting chest pain and ST segment elevations that were refractory to medical therapy, leading to thrombolytic therapy and rescue angiography, which revealed no evidence of coronary artery disease by coronary catherization. Cholecystitis was subsequently diagnosed with hepatobiliary scintigraphy. The patient's fever and ST segment elevations promptly resolved with antibiotic treatment. Four previous cases of ST segment elevation attributed to cholecystitis have been reported. Although the electrocardiographic changes attributed to cholecystitis have been shown to be correctable, the pathophysiological mechanism underlying these changes remains unclear. Prompt recognition of cholecystitis can ensure appropriate treatment and may prevent the performance of unnecessary diagnostic and therapeutic interventions.
Mil Med 2006 Dec
PMID:Chest pain and ST segment elevation attributable to cholecystitis: a case report and review of the literature. 1725 96


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