Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract Chest pain (CP) in children is a common complaint encountered by many health care providers in deferent sittings. The causes of pediatric CP are largely benign in etiology. However, the possibility of a cardiac cause must always be entertained. Certain information gathered during the initial evaluation can help identify patients with increased risk for cardiovascular disease necessitating a more extensive workup. Multiple risk factors and physical exam findings were found to be associated with an increased likelihood of cardiac etiology in children presenting with CP. Knowledge of these “red flags” can help the evaluating physician to risk stratify patients and decide on the appropriate disposition. Keywords: Chest pain; Red flags; Children; Sudden death; HCM Introduction Chest pain (CP) is a relatively common complaint in the pediatric po...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Keywords Keywords: Coronary artery anomalies; Cardiac surgery; Chest pain Case Report A 59-year-old woman with a history of hypertension and mild asthma was brought to the emergency department complaining of acute onset chest pain. Electrocardiogram en-route by EMS showed ST-segment elevations in inferior leads, which normalized on arrival to the emergency department thirty minutes later. Initial serum troponin-T was 0.12ng/ml (reference range: 0.0-0.1ng/ml). Coronary angiography revealed a suspected culprit, apical "wraparound" distal LAD stenosis with vasospasm and a difficult to engage right coronary artery (RCA) with 40% ostial stenosis. Her symptoms improved with intravenous nitroglycerin. Coronary computed tomography angiography showed an anomalous RCA arising from a separate origin in the left sinus of valsalva, with an "intramu...