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- W3022215536 abstract "Publisher SummaryThis chapter discusses the causes and treatment of chest Pain. Chest pain is a common complaint and may be either acute, with sudden and unexpected onset, or chronic with exacerbation. It has many causes, the most important—both numerically and clinically—being cardiac ischemia because of narrowing or occlusion of the coronary arteries. With the greater availability of selective coronary angiography, it has become apparent that up to one-third of patients complaining of angina-like chest pain have normal coronary arteries or exhibit at most only minimal main coronary artery disease. Common causes of acute chest pain include damage to myocardium, pericardium, aorta and great vessels, pleura, rib cage, and mediastinum—especially the esophagus, the pain from which may be indistinguishable in site, character, and radiation from that caused by myocardial ischemia. The acute chest pain that typically follows a coronary thrombosis and is caused by myocardial ischemia, may—if sufficiently severe and/or prolonged—be accompanied by irreversible myocardial damage—myocardial infarction or necrosis—from which recovery is possible by a process of repair but leaves a scar in which cardiac muscle is replaced by fibrous tissue." @default.
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- W3022215536 date "1994-01-01" @default.
- W3022215536 modified "2023-09-22" @default.
- W3022215536 title "Chest Pain" @default.
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- W3022215536 doi "https://doi.org/10.1016/b978-0-7506-0167-2.50041-8" @default.
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