Chest Pain Case Studies

Mr. Howard was evaluated by his family physician after a prolonged episode of chest pain. The results of an electrocardiogram (ECG) were unremarkable; however, in view of the progression of his symptoms, he was referred to a cardiologist. Mr. Howard underwent a stress treadmill

A full examination was done by the nurse practitioner from head to toe with a bed side ECG and

Client complains of chest pain and shortness of breath (SOB). Client states that he was working with heavy stones and has a sedentary office jobs and sedentary life styles. Client has a medical history of asthma & GERD. Client also complains of indigestion and has not eaten much today. Beside this information, the nurse would ask the following questions to the client in order to complete the client history which would help to make nursing diagnosis: Where exactly is the pain? Does it radiate/ go anywhere? When did the pain start? Was the onset sudden or gradual? What are you doing when it started? What does your pain feel like- burning /stabbing/ aching/ squeezing/ cramping/ sharp/ itching/ shooting/ crushing etc.? How severe is the pain,

Current symptoms or indicators: Recently admitted to emergency room with heart attack symptoms. Chest pain, inability to breathe and irregular heartbeat Client has admitted he is scared

There are also symptoms that involve the chest. These involve chest pain due to pleurisy, and irritation of the membranes lining the inside of the chest around the lungs, and pain due to pericarditis, and inflammation of the sack surrounding the heart. With both of these conditions there is difficulty in breathing, pain, shortness of breath, or a rapid heartbeat.

The dental office can be a place of weakness for any cardiac attacks. Whether stable or unstable angina, patients subject to these attacks should be handled with a higher level of awareness. If a patient with a known history of angina experiences chest pain during a dental procedure, the procedure should be immediately stopped. The patient should be seated upright and given GTN sublingually and oxygen immediately. If the patient’s pain is not relieved within 3 minutes this pain may be caused by a possible myocardial infarction and medical help should be summoned.

The onset of chest pains can be caused by many issues. In Fatima's case, processed food could be a very large factor in her chest pains and hypertension. " Processed foods are, plus or minus, 70 percent of what most of us eat." (Ryssdal, 2013) Hypernatremia or a high level of sodium in the blood can cause stiffened of blood vessels and heart failure. Processed foods tend to be loaded with added sugar.

[Name] returns today. She has seen Dr. [Name]. She has a history of an abnormal echocardiogram, and hypertension with hyponatremia.

The cardiac condition selected is acute pericarditis. When the pericardium membrane is inflamed it is called pericarditis (Swart S. and Tiffen, J., 2007). The pericardium is a sac not only protects and holds the heart in place; it also helps promote efficient cardiac output. It has two layers of tissue with fluids present to help reduce friction rub. When those inner linings become inflamed it can cause symptoms of chest pain (American Heart Association, 2016). Acute pericarditis can be caused by viral (most common) bacterial infections as well as other diseases infections (i.e. cancer patients, HIV/AIDS, radiation to chest) (Swart S. and Tiffen, J., 2007). According to the American Heart association article “ What is pericarditis?” prescribed

Noncardiac chest pain is defined by recurrent episodes of subesternal chest pain in patients lacking a cardiac cause after a comprehensive evaluation. It is a diagnostic dilemma, chest pain is often indistinguishable from cardiac cause leading to extensive and expensive evaluations.

In addition to the illness affecting my balance, hearing acuity, and concentration, I have had episodes of pain in my chest area. The pain in my chest area appears to benign. Maybe its nerve pain rather than cardiovascular disease related pain. Have you and/or Mary Jayne have had pain in the chest area related to cardiovascular disease?

Low estrogen levels are the main cause of chest pain, and the females with this level of estrogen level mainly face this problem of chest pain. At times of the month, whenthe estrogen level is low in blood streams in a female body. This can be verified via blood test.The normal duration of angina attacks in pre periods typically ranges between five to ten minutes or can lie be anywhere from 30seconds to 30 minutes.

Chest pain has many forms. Some chest pain is described as crushing or burning. The pain can radiates to the neck, the jaw, then to the back, and travels through the arms. Most of the chest pain is life-threatening which can involve both heart and lungs. Although chest pain is attributed mainly to heart disease; usually, it is a wide range of comorbidities untreated such as hypertension, diabetes, unhealthy cholesterol level, and etc., which overtime will damage the heart muscles. Angina pectoral or chest pain is not a disease; it is a warning sign that the heart is not receiving enough oxygen. Therefore, the chest discomfort should not be ignored; this is a symptom of an underlying heart problem. For instance, the coronary arteries

Since most people in our society consider chest pain to be of a cardiac origin, pediatric chest pain can not only be scary the child, but can also cause anxiety for the parents due to the fear of their child 's condition. Luckily, many causes of chest pain are usually benign and rarely can be a sign of cardiac disease. With this in mind, providers should complete a preliminary evaluation for chest pain, decide on differential diagnoses, and than develop an appropriate plan. Providers should also be aware of the most likely causes of chest pain in children, which include reactive airway disease, musculoskeletal pain, esophagitis, gastritis, and functional pain (Hay, Levin, Deterding, Abzug, 2014). Will all of those in mind, by far the most common cause in children is chest pain from a musculoskeletal injury. The initial evaluation should include a detailed history and physical examination to help guide the provider to the proper workup, and rarely is there a need for laboratory tests or evaluation by a specialist (Hay, Levin, Deterding, Abzug, 2014). First finding out when the pain started, last month, last year, and so forth, will be of high importance, then once a time frame is establish, details about the most recent episode should be obtained. The provider should ask how long the pain lasted, what made it better,made it worse, and then move on to what brought on the pain, with arm movement, breathing, dizziness, particular activity and so forth. Once the cause

Mr. XXXX is a 44 years old Caucasian male, a general construction worker who works on a nearby highway for the bridge project, and checked in this urgent care center for complaining of chest pain and shortness of breath (SOB). The chest pain is constant dull and pressure like pain, and started 3 hours ago. The pain is located on the center of chest. He rates the pain 4 out of 10 on a pain scale 0 to 10 while resting. The pain gets worse and increases after eating. He experienced increased chest pain and SOB with simple walking from the parking lot to this office. The pain was not resolved with taking PO 365mg of Aspirin 2 hours ago and resting. He was diagnosed with hyperlipedemia 10 years ago. He is taking medication to manage his high cholesterol level. He denies past history of chest pain, hypertension, and coronary artery disease. He denies any history of heart surgery or cardio artery bypass surgery. He is anxious and fearful for his first chest and SOB. He smokes a half pack a day for past 20 years. He drinks one bottle of bear every evening with meals. He denies taking any herbal medication or illicit drugs. He has been a good appetite. He reported 20 lbs weight gain since his retirement from military. He has an irregular meal time and does not exercise as much as he used to do in the military.