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Precordial Catch Syndrome


Presentation

  • Case Report A 37-year-old lady presented with a 6-month history of left-sided acute onset moderate to severe chest pain.[indianjpain.org]
  • In addition, elderly individuals have a greater prevalence of coronary artery disease, which, when present, is more severe than that in younger patients 10.[scielo.br]
Asymptomatic
  • However, no statistically significant difference was found in the frequency of positive tests among asymptomatic patients and those with nonanginal chest pain [10% versus 16% (P 0.49)].[scielo.br]
Constitutional Symptom
  • She had no history of fever, trauma or any other constitutional symptom in recent past. There was no history of similar illness in her family or history of major illness. Examination revealed an alert healthy female with normal vitals.[indianjpain.org]
Severe Pain
  • Severe pain in the intercostal spaces is sometimes the first sign of shingles, and short-term or intermittent pain in the heart, often concentrated in a small area, aching, stabbing or unspecified nature — a common complaint of patients with neurosis.[survincity.com]
Abdominal Pain
  • The brain-gut axis in abdominal pain syndromes. Ann Rev Med 2011;62:381–96. 49 Spalding L, Reay E, Kelly C. Cause and outcome of atypical chest pain in patients admitted to hospital.[intramed.net]
Chest Pain
  • Non-cardiac chest pain: time to extend the rapid access chest pain clinic? Int J Clin Pract 2013;67:303–6. 16 Marks E, Chambers J, Russell V, et al. Rapid access chest pain clinic: distress and disability.[intramed.net]
  • An unusual cause of chest pain: Fused cervical vertebra (C3-C4).[indianjpain.org]
  • A sharp or ill-characterized chest pain or discomfort, not related to effort, was considered nonanginal chest pain 5.[scielo.br]
  • Often chest pain is not associated with diseases of the heart.[survincity.com]
Tachycardia
  • Only 2 episodes of nonsustained ventricular tachycardia occurred at peak effort, with less than 5 beats.[scielo.br]
Lordosis
  • X-ray of cervical spine was done which showed presence of fused 3 rd and 4 th cervical vertebra with obliteration of cervical lordosis [Figure 1] and [Figure 2].[indianjpain.org]
Asthenia
  • Da Costa’s syndrome or neurocirculatory asthenia. Br Heart J 1987;58:306–15. 31 Wood P. Da Costa’s syndrome (or effort syndrome). BMJ 1941;i:767–72, 805–11, 845–51. 32 Jeresaty RM. Mitral valv eprolpase.[intramed.net]
Neglect
  • Due to these comorbidities, exercise testing may be neglected by clinicians.[scielo.br]
Sciatica
  • If the chest pain is changed by tilting and turning the body, taking a deep breath exhale sludge, moving the arms and nitroglycerin or validola virtually no effect on the rate, then it is probably due to sciatica or breast diseases rib cartilage.[survincity.com]

Treatment

  • Treatment methods The main treatment was psychotherapy, aiming to eliminate the patient's fear and pressure.[alliedacademies.org]
  • A multidisciplinary, biopsychosocial treatment for non-cardiac chest pain. Int J Clin Pract Published Online First: 31 Oct 2014; doi:10.1111/ijcp.12533 21 Clare A, Andiappan M, MacNeil S, et al.[intramed.net]
  • Why heartache Pain in the heart — One of the most frequent causes of treatment for people by ambulance.[survincity.com]

Prognosis

  • Exercise testing has a good cost-risk-benefit ratio for diagnosis and prognosis of coronary artery disease, including in the elderly population 11.[scielo.br]
  • Prognosis of incident angina and non-cardiac chest pain in 8762 consecutive patients. Heart 2007;93:458–63. 12 Blatchford O, Capewell S.[intramed.net]

Etiology

  • Chest pain with normal coronary anatomy: a review of natural history and possible etiologic factors. Prog Cardiovasc Dis 1990;33:161–84. 24 Robertson N, Javed N, Samani NJ, et al.[intramed.net]

Epidemiology

  • Noncardiac chest pain: epidemiology, natural course and pathogenesis. J Neurgastroenterol Motil 2011;17:110–23. 2 Eslick GD, Coulshed DS, Talley N. Review article: the burden of illness of non-cardiac chest pain.[intramed.net]
Sex distribution
Age distribution

Pathophysiology

  • The pathophysiology of cardiac syndrome X—a tale of paradigm shifts. Cardiovasc Res 2001;52:174–7. 40 Parsyan A, Pilote L. Cardiac syndrome X: mystery continues. Can J Cardiol 2012;28:S30S6. 41 Rosen SD.[intramed.net]

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