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Evening Chest Pain - Articles

Exercise Pain? 5 Hints You Should Stop Working Out and Talk to a Doctor by Kodjoworkout Posted Thu 20 Feb 2014 6:25am Pain is common during exercise, especially if you are just starting an exercise routine. However, there are some pains that are not normal. These tips will help you know if your exercise pain is something more serious and requires medical attention. Chest Pain If you are following a safe exer ... Read on »
Women with Chest Pain Not Treated the Same as Men by EMS by Heartstrong Registered NurseFacebook Posted Fri 05 Jun 2009 4:17pm 1 Comment  Women have been shown to be more likely to die than men when they have a heart attack. When a woman arrives at a hospital with a heart attack she is not treated as aggressively as a man. This may be because women do not always have chest pain – the cardinal sign of a heart attack. A recent study presented at the Society for Academic Emer ... Read on »
A woman in her 50s with reproducible chest pain (seems to be chest wall pain) by Stephen Smith Posted Sun 18 May 2014 3:58pm This woman had recently undergone rotator cuff surgery and presented with L shoulder and chest pain.  The pain was very reproducible with palpation and with range of motion of the shoulder.  It seemed to be clearly musculoskeletal pain and my plan was to not even order an ECG (believe it or not).  I was not planning to order any tests at all. ... Read on »
Chest pain by Stuart G. Patient Expert Posted Fri 21 Nov 2008 4:26pm Six calls – two refused, four by ambulance. Forty kilograms is a lot of weight to drop onto your chest and my first call was to a 57 year-old, in good health and with years of experience ‘pumping iron’ who did just that. He’d been working out, as usual, in his local gym when the Swiss ball (an inflated rubber ball used for various exercise ... Read on »
Neck and Thoracic Pain| Atypical Chest and Abdominal Pain by Dr. Jennifer C. Medical Doctor Posted Thu 18 Sep 2008 10:16am Patients may present with atypical abdominal and chest pain that may be related to spinal problems. The key features on history that point to spinal referred pain are pain on movement, tenderness and tightness of musculoskeletal structures at a spinal level supplying the pain ful area, and an absence or paucity of symptoms suggestive of a nonmusc ... Read on »
Chest Pain: a trilogy? by Jan Hasak Posted Thu 21 Jun 2012 2:33am Will this chest pain that haunts my every movement ever quit? About three months ago I started experiencing chest pain similar to what I felt last fall when my relationship world came crashing down and I lost my job. Back then the technicians carried out a scary chest x-ray, bone scan and rib x-ray to rule out cancer recurrence. The EKG t ... Read on »
What Do Chest Pains During Exercise Mean?: My Most Humiliating Medical Moment EVER. [Topless Treadmill Running] by Charlotte H. Patient Expert Posted Tue 26 Nov 2013 1:07am  This is totally true. Scares the everloving crap out of me.  Topless treadmill running has never been on my fitness bucket list but then neither was being a pro NFL cheeleader for a day or doing crunches on an underwater produce scale in an ice-cold pool for half an hour and I ended up doing both of those. So. So maybe I shoul ... Read on »
Chest pain in a patient with previous inferior STEMI. Scrutinize both the ECG and the history! by Stephen Smith Posted Wed 09 Apr 2014 10:25am I was looking through a stack of ECGs (I can't help myself) and saw this one, which caught my eye What do you think?  Computerized QRS duration is 120 ms. My thought was that it looked like there was likely very subtle anterior injury.  In spite of the slightly prolonged conduction, I applied the anterior S ... Read on »
Chest Pain in a Male in his 20's; Inferior ST elevation: Inferior lead "early repol" diagnosed. Is it? by Stephen Smith Posted Wed 31 Jul 2013 11:33am A 20-something male presented from an outside facility with Chest pain.  Vital signs were normal. History: Onset of CP 2.5 hours prior to ED arrival.  "Tight and pressure, radiates to right arm, + nausea, + SOB.  No thromboembolism risks, not pleuritic, no radiation to the back.  No cardiac risk factors, no cocaine use. He came with thi ... Read on »
A 29 year old male with pleuritic chest pain for 6 hours by Stephen Smith Posted Thu 26 Jun 2014 1:44pm This case was sent to me by Taylor Sanders of the LSU- Baton Rouge Emergency Medicine residency. A 29 year old complained of 6 hours of pleuritic chest pain QRS: There is rSR' in V1, consistent with RV conduction delay, but the QRS does not appear prolonged and there are no S-waves in lateral leads.  However, this absenc ... Read on »