Pauci-Symptomatic Aortic Dissection

A 61-year-old man woke up with unusual heartburn (no radiation or dyspnea) and drove himself to the Emergency Department. He looked comfortable with normal physical examination and ECG. Blood pressure was 110/60 mm/Hg (both hands), heart rate 54/min, respiratory rate 12/min, oxygen saturation 98%. He had hypertension (well-controlled on nifedipine 30 mg/atenolol 100 mg), obesity, smoked 1pack/day, and took non-steroidal anti-inflammatory drugs (NSAIDs) over 5 days for knee pain. Hb was 14.1 g/dL, white blood cell count 12.9  × 103/µL, platelets 223 × 103/µL, C-reactive protein 16.8 mg/L, blood urea nitrogen 30.3 mg/dL, creatinine 1.3 mg/dL, transaminases 103-168 IU/L, normal cholestatic enzymes, serum proteins, electrolytes, troponin (8.5 ng/L), and urinalysis.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communication to The Editor Source Type: research

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A previously healthy, well-appearing 42-year-old female living in a modern, high-rise apartment in downtown Los Angeles calls 9-1-1 at 5:30 am complaining of worsening of a burning, epigastric pain she had been experiencing for the last three days. She reports associated nausea and non-bloody, non-bilious vomiting, and that she couldn’t manage to get comfortable in bed until she finally decided to call for help at daybreak. During her 9-1-1 call, she reports “pain, like heartburn, that just woke me up again and I had to throw up, … and then I was sweating so much.” Using the Los Angeles Tiered Disp...
Source: JEMS Special Topics - Category: Emergency Medicine Authors: Tags: Exclusive Articles Cardiac & Resuscitation Source Type: news
You're reading Your Guide To Better Sleep Habits, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. Nothing can be more frustrating than laying on bed at night and waiting for sleep that won't come. There are many reasons why you're having a hard time dozing off. You may be suffering from insomnia, experiencing immense stress or practicing unhealthy lifestyle habits. It's also possible that you have an underlying medical condition that affects your ability to get good sleep. According to the sleep experts at National Slee...
Source: PickTheBrain | Motivation and Self Improvement - Category: Consumer Health News Authors: Tags: featured health and fitness self improvement good habits good sleep health benefits of sleep pickthebrain sleep habit Source Type: blogs
Is the pain heartburn or a heart attack? How can you tell the difference between a sharp, burning sensation in your chest caused by the pizza you just ate or a sign of something more serious? Women’s heart attack symptoms can be difficult to diagnose. My heart attack absolutely started out feeling like heart burn. I’ve experienced both severe heartburn and a heart attack and the pain is very similar at the beginning. Here are 7 ways to tell the difference between heartburn and a heart attack: Did you just eat something which upset your stomach? If your tummy is usually upset 30 to 40 minutes after eating spicy...
Source: Embrace Your Heart Wellness Initiative - Category: Cardiology Authors: Tags: Award Winning Blog Heart Health Source Type: blogs
SPECIAL FROM “As many as five million Americans age 65 and older may have Alzheimer’s Disease, and that number is expected to double for every five-year interval beyond age 65.” — the National Institute of Neurologic Disorders and Stroke. While Alzheimer’s is the most common form of dementia, it is not the only form. Risk factors for all kinds of dementia include, age, alcohol use, smoking, atherosclerosis, diabetes, hypertension, and genetics. However, researchers have found some startling connections that show other surprising factors that can heighten your risk: Risk Factor #1: Anticho...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
This report summarizes the safety and efficacy of vBloc therapy in the prespecified subgroup of patients with moderate obesity. Methods The ReCharge Trial is a double-blind, randomized controlled clinical trial of participants with body mass index (BMI) of 40–45 or 35–40 kg/m2 with at least one obesity-related comorbid condition. Participants were randomized 2:1 to implantation with either a vBloc or sham device with weight management counseling. Eighty-four subjects had moderate obesity (BMI 35–40 kg/m2) at randomization. Res...
Source: Obesity Surgery - Category: Surgery Source Type: research
CONCLUSIONS: The balloon treatment is a safe and well-tolerated therapy with a low complication rate. PMID: 26649094 [PubMed - as supplied by publisher]
Source: Videosurgery and Other Miniinvasive Techniques - Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research
Clay shared his 3-month Wheat Belly photos. “This was from August 1st, 2015 to November 1st, 2015: 3 months. I also exercised by walking about 26 miles per week. “I have more energy and stamina. I no longer have to use nasal strips to prevent snoring. I sleep better, my food tastes better, my acid reflux has improved, my LDL amd HDL are headed in the right direction, as is my blood glucose. Also my blood pressure is now easily managed.” You can see the dramatic reduction in tummy fat, the visceral fat that drives inflammation, high blood pressure, high blood sugar, and increased risk for heart disease, ...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: Wheat Belly Success Stories abdominal acid reflux blood pressure blood sugar cdl diabetes Fat gluten grains heartburn hypertension insomnia LDL sleep sleep apnea visceral Weight Loss Source Type: blogs
Elizabeth shared her emerging experience of health and life transformation by adopting the Wheat Belly lifestyle: “I am 34 years old, married with no kids. I suffered from hypertension, heart problems, plantar fasciitis, joint pains, heartburn, migraines and I was overweight. “After 60 days of wheat-free lifestyle, I feel so much better. I look better and I have never been so active! So far, I have shed 15 lbs, went down two dress sizes and lost 3 inches around my waist. I might have to do some shopping for smaller clothes! “More importantly, I feel lighter, I can walk miles and climb steps without pain. ...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: Wheat Belly Success Stories gluten grains heartburn hypertension joint pain migraine plantar fasciitis Source Type: blogs
    by Cari Nierenberg, Live Science Contributor Being pregnant can be a tiring experience for a woman’s body. Both the physical discomforts of pregnancy as well as the emotional stress of this major life change can cause sleep problems and keep a mother-to-be awake at night. Feeling exhausted is a common complaint during the first and third trimesters. But women might be caught off guard by how worn out they feel in the early months of pregnancy. “A lot of women are totally surprised by how fatigued they feel during the first trimester,” said Kathy Lee, a professor of nursing at the University...
Source: Cord Blood News - Category: Perinatology & Neonatology Authors: Tags: babies brain development Cord Blood medical research parents pregnancy stem cells Uncategorized affordable cord blood banking cerebral palsy cord blood banking fees cord blood treatment for Leukemia cord clamping due dates heal Source Type: blogs
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