Cardiovascular, Pediatric Services

Benign chest pain in children

CHEST PAIN is very common in children. Fortunately, serious heart conditions are very rare but include pericarditis, myocarditis, cardiomyopathy, arrhythmias, coronary artery abnormalities, aortic dissection and ingestions. Noncardiac causes of chest pain are seen most frequently and include costochondritis, nonspecific chest wall pain, slipping rib syndrome, trauma or muscle strain. Other noncardiac causes of chest…

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Adult Services, Cardiovascular, Neuroscience

View from the emergency department on tPA

The American Heart Association (AHA) calls tPA the “gold standard” for treating ischemic strokes. AHA guidelines for the early management of acute ischemic stroke call for administering tPA as quickly as possible. Emergency physician Jeff A. Spain, M.D., has seen firsthand what a difference tissue plasminogen activator (tPA) can make in the treatment of ischemic strokes….

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