By Juan Carlos Kaski MD, DM (Hons), DSc, FRCP, FESC, FACC, FAHA (auth.), Juan Carlos Kaski, Guy D. Eslick, C. Noel Bairey Merz (eds.)
Written via prime specialists within the box, Chest ache with basic Coronary Arteries comprehensively experiences the scientific presentation and the pathogenesis of the , in addition to its administration. This e-book presents a realistic device for the clinician and a financial institution of data and new principles for examine scientists and scientific researchers drawn to realizing the motives and mechanisms of chest ache with basic coronary arteries. no matter if the soreness be of gastroenterologic, cardiac or endocrine in beginning, the booklet makes a speciality of potent analysis, remedy and administration of other pathologies in sufferers. Chest ache with common Coronary Arteries is a vital learn for all clinicians curious about dealing with sufferers with chest discomfort, and people who can be conscious of non-cardiac chest pain.
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Additional info for Chest Pain with Normal Coronary Arteries: A Multidisciplinary Approach
Characteristically the pain increases with deep inspiration, upper body movement or coughing and there is tenderness to the palpation of the affected area. Most of the times, the patient recalls the traumatic antecedent, which helps to guide the diagnosis . MRI and US of the affected area can be useful to identify muscular lesions as muscular tears, hematomas or interstitial hemorrhages. Treatment implies rest of the affected muscles, avoiding situations that may exacerbate the pain and use of anti-inflammatory medications for injuries of the intercostal muscles , while for lesions of the pectoralis the recommended management includes physical therapy, immobilization of the shoulder and potentially, surgery .
Heat and erythema may be present. Tietze syndrome can be secondary to infections, especially in cases of chest wall trauma, rheumatologic disorders and neoplasias . Neoplastic conditions presenting as Tietze syndrome can be primary tumors of the ribs, extensions from a primary process in the vicinity, such as cancers in the pleura, lung or mediastinum or secondary metastatic disease [48, 50–53]. The characteristics of the pain in Tietze syndrome are similar to the described for chostocondritis except for the presence of swelling at the involved site .
Psychological Disorders Fig. 5 Pneumothorax shown on X-ray subcutaneous emphysema (air in the subcutaneous tissue), more often located in the chest wall, neck and face. In these cases crepitus can be appreciated on palpation of the affected Epidemiological studies suggest that psychological factors play an important role in the pathogenesis of chest pain. Moreover, it seems that patients with NCCP suffer from higher rates of psychological disorders than those with cardiac disease, especially panic disorder (PD).