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We retrospectively reviewed the incidence of ES and CMS in consecutive Japanese patients with unobstructed coronary artery disease. By 229 patients, exertional chest pain was confirmed by 62 patients, exhaustion and resting chest pain was reported by 61 patients, and another chest disease was identified by 153 patients. ES was defined as 90 percent stenosis and classic chest signs, as well as ischemic ECG changes, with CMS being defined as 75% stenosis and typical chest signs and ischemic ECG changes, while CMS was defined as 75% stenosis and common chest signs and ischemic ECG changes. Women made up 9% in patients with ES, and 70% of the patients had resting chest pains. In two patients with sinus rhythm after thump version or cardiac resuscitation, vascular fibrillation was present. In only 2% of consecutive Japanese patients with unobstructed coronary artery disease by intracoronary ER examination, only 2% of those patients, while ES was detected in 16% of those patients.
Source link: https://doi.org/10.1007/s00380-021-02002-x
When assessing patients with chest pain, patients with chest pain must be assessed with emergency medical dispatch center prediction models with high sensitivity and satisfying specificity. Methods Observational cohort study of 2917 unselected patients with chest pain who sought an EMD center in Sweden in 2018 due to chest pain during 2018. For the low-risk prediction model, the area under the receiver-operating characteristic curve was 0. 79, and for the low-risk model, it was 0. 74. 56% of the EMS missions were prioritized for the highest priority when using the high-risk prediction system, up from 65% with the new standard. In both high-risk and low-risk forecast, the latest forecast tools outperformed today's dispatch priority accuracy in terms of sensitivity, as well as positive and negative predictive value in both high- and low risk prediction. This will result in a more effective emergency medical services resource allocation.
Source link: https://doi.org/10.1186/s13049-022-01021-5
Background Patients with chest pains may or not be experiencing a panic attack. Is chest pain triggered by a panic attack or myocardial infarction with non-obstructive coronary arteries syndrome? Aim In this report, we investigated both MINOCA syndrome and HEART in patients who arrived to the emergency department with panic attacks and chest pains. Patients with anxiety disorder and chest pain complaints were accepted into the emergency department by patients who arrived in the emergency department. Out of a total of 217 patients surveyed, the study was conducted with 143 eligible patients out of a total of 217 patients screened. The second group was made up of individuals whose chest pain was considered non-specific. Conclusion Clinicians should pay attention to the patient's age, gender, number of attacks per week, HEART score, and which signs are present in patients with the panic attack diagnostic criteria. Clinicians should be aware of the MINOCA syndrome, which can result in panic attack patients.
Source link: https://doi.org/10.1007/s11845-022-03018-6
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