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Actual Patient Cases of CHD and MI from My Practice
Published in Mark C Houston, The Truth About Heart Disease, 2023
HW's physical exam showed some wheezing in his lungs from smoking. His blood tests were normal. His cardiac stress test was abnormal, and he had chest pain and shortness of breath after walking on the treadmill for only two minutes. The test indicated that he had severe CHD in multiple areas of the heart.
Introduction to specialist investigations
Published in Ian Mann, Christopher Critoph, Caroline Coats, Peter Collins, The Junior Doctor’s Guide to Cardiology, 2017
Ian Mann, Christopher Critoph, Caroline Coats, Peter Collins
Patients with heart failure need to be carefully considered, as their mobility may be limited by breathing rather than by chest pain. Other forms of cardiac stress test may be more suitable for these types of patients.
Aortoiliac Artery Angioplasty and Stenting
Published in Richard R Heuser, Giancarlo Biamino, Peripheral Vascular Stenting, 1999
Christopher J. White, Stephen R. Ramee
It is important, in the initial assessment of patients with peripheral vascular occlusive disease, to remember that there is a significant association of coronary artery disease, and that coronary artery disease is the major cause of mortality in these patients.1,2 A complete cardiovascular assessment of the patient with aortoiliac occlusive disease should be performed, given the high incidence of associated atherosclerotic diseases. Appropriate assessment of these patients includes a complete carotid, abdominal, and lower extremity vascular examination as well as appropriate screening and assessment for coronary artery disease. A non-invasive cardiac stress test is appropriate to assess the risk of suspected coronary artery disease.
Treatment of thoracic spine pain and pseudovisceral symptoms with dry needling and manual therapy in a 78-year-old female: A case report
Published in Physiotherapy Theory and Practice, 2022
In the month between her emergency room visit and referral to physical therapy, the patient underwent several tests in order to rule out cardiac and pulmonary problems. Two days after her date of injury (DOI) she had an Ultrasound of her neck which revealed an enlarged left thyroid gland. Eight days after DOI she had a chest radiograph which was negative. Nine days after her DOI she had an echocardiogram which was negative. Fourteen days after her DOI she underwent a cardiac stress test, which was negative, and an MRI of the thoracic spine. The MRI was positive for findings of a moderate posterior central disc extrusion at T5/T6 with extruded disc material migrating inferiorly behind T6 causing mild cord compression without cord edema. No fracture was found. She had blood tests on the date of her injury, 2 weeks later, and 6 weeks later, which were negative for cardiac or pulmonary issues but did show elevated CRP and SED rate.
Effect modification of hypertension on the association of vitamin D deficiency with severity of coronary stenosis
Published in Blood Pressure, 2018
Kuibao Li, Wenshu Zhao, Lefeng Wang, Xiyan Yang, Xinchun Yang
The inclusion and exclusion criteria as well as the methods of collecting relevant clinical data have been reported in detail previously [9]. Briefly, we included symptomatic patients who were suspected of suffering from CHD due to their chest discomfort and/or ischemia evidence by a noninvasive test such as a cardiac stress test or a dynamic change of an electrocardiogram. We excluded the patients who suffered from severe liver or kidney diseases, acute or chronic inflammation, or malignancy in this study. Patients who were taking vitamin D at admission, or refused to give an informed consent were also ruled out. The study was approved by the ethics committee of our Hospital and all patients provided written informed consent.
The objective CORE score allows early rule out in acute chest pain patients
Published in Scandinavian Cardiovascular Journal, 2018
Catharina Borna, Knut Kollberg, David Larsson, Arash Mokhtari, Ulf Ekelund
Several clinical decision rules and risk scores have been developed with the intention to help clinicians to identify the patient´s risk of ACS and adverse outcomes in the short term [3–7]. Many of these risk scores include subjective variables, e.g. the physician’s assessment of the chest pain characteristics and/or ECG, which might to some extent decrease their a priori credibility and limit their use [8–11]. In addition, the decision rules often recommend further investigation with a cardiac stress test even in patients identified as having a low risk of ischemic heart disease. This might lead to a large number of false-positive findings and to unnecessary and potentially harmful additional diagnostic tests.