Thoracalgia in a Patient with Determined Coronary Heart Disease. Is there Always a Relapse of Angina Pectoris?
This article presents a clinical case of a 62-year-old man with a long history of coronary heart disease and smoking, whose main complaint upon admission to the hospital was voice hoarseness and atypical pain syndrome in the chest. During a preliminary medical examination, attention was paid to the...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Столичная издательская компания
2020-03-01
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| Series: | Рациональная фармакотерапия в кардиологии |
| Subjects: | |
| Online Access: | https://www.rpcardio.online/jour/article/view/2109 |
| _version_ | 1797232121474973696 |
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| author | O. M. Drapkina A. A. Zeynapur A. S. Klevina O. B. Vasileva |
| author_facet | O. M. Drapkina A. A. Zeynapur A. S. Klevina O. B. Vasileva |
| author_sort | O. M. Drapkina |
| collection | DOAJ |
| description | This article presents a clinical case of a 62-year-old man with a long history of coronary heart disease and smoking, whose main complaint upon admission to the hospital was voice hoarseness and atypical pain syndrome in the chest. During a preliminary medical examination, attention was paid to the clinical picture, atypical for a coronary heart disease – voice hoarseness was identified as a manifestation of the recurrent nerve compression, or cardio-vocal syndrome. Given the lack of connection between the chest pain and physical exertion, a high index of a smoking person as well as signs of the recurrent nerve compression syndrome, a multi-spiral computer tomography with contrasting of the chest organs was performed (in line with official recommendations of the Russian Associations of Oncologists and Otolaryngologists). The results revealed a proliferative lesion of the mediastinum and multiple focal lesions of both lungs. A subsequent thoracoscopy and biopsy confirmed the mediastinal form of a lung cancer. Promptly initiated poly-chemotherapy allowed stabilizing the patient’s condition and significantly improving his prospects. In this context, the article discusses the complexity of a timely diagnosis of a primary lung cancer and emphasizes the need to focus on specific and unique features of the disease course as well as on a broader clinical picture. Tactics of a multidisciplinary approach allows making a diagnosis in a timely manner, significantly improving the effectiveness of therapy and patient’s survival prognosis. |
| first_indexed | 2024-03-08T14:01:33Z |
| format | Article |
| id | doaj.art-df95088b042e4a1d8ebc89ace1fccc9c |
| institution | Directory Open Access Journal |
| issn | 1819-6446 2225-3653 |
| language | English |
| last_indexed | 2024-04-24T15:55:14Z |
| publishDate | 2020-03-01 |
| publisher | Столичная издательская компания |
| record_format | Article |
| series | Рациональная фармакотерапия в кардиологии |
| spelling | doaj.art-df95088b042e4a1d8ebc89ace1fccc9c2024-04-01T07:43:39ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532020-03-01161465010.20996/1819-6446-2020-02-051694Thoracalgia in a Patient with Determined Coronary Heart Disease. Is there Always a Relapse of Angina Pectoris?O. M. Drapkina0A. A. Zeynapur1A. S. Klevina2O. B. Vasileva3National Medical Research Center for Preventive MedicineNational Medical Research Center for Preventive MedicineNational Medical Research Center for Preventive MedicineNational Medical Research Center for Preventive MedicineThis article presents a clinical case of a 62-year-old man with a long history of coronary heart disease and smoking, whose main complaint upon admission to the hospital was voice hoarseness and atypical pain syndrome in the chest. During a preliminary medical examination, attention was paid to the clinical picture, atypical for a coronary heart disease – voice hoarseness was identified as a manifestation of the recurrent nerve compression, or cardio-vocal syndrome. Given the lack of connection between the chest pain and physical exertion, a high index of a smoking person as well as signs of the recurrent nerve compression syndrome, a multi-spiral computer tomography with contrasting of the chest organs was performed (in line with official recommendations of the Russian Associations of Oncologists and Otolaryngologists). The results revealed a proliferative lesion of the mediastinum and multiple focal lesions of both lungs. A subsequent thoracoscopy and biopsy confirmed the mediastinal form of a lung cancer. Promptly initiated poly-chemotherapy allowed stabilizing the patient’s condition and significantly improving his prospects. In this context, the article discusses the complexity of a timely diagnosis of a primary lung cancer and emphasizes the need to focus on specific and unique features of the disease course as well as on a broader clinical picture. Tactics of a multidisciplinary approach allows making a diagnosis in a timely manner, significantly improving the effectiveness of therapy and patient’s survival prognosis.https://www.rpcardio.online/jour/article/view/2109chest painvoice hoarsenessnerve compression of the recurrent nerve (cardiovocal syndrome)mediastinal stage of lung cancer |
| spellingShingle | O. M. Drapkina A. A. Zeynapur A. S. Klevina O. B. Vasileva Thoracalgia in a Patient with Determined Coronary Heart Disease. Is there Always a Relapse of Angina Pectoris? Рациональная фармакотерапия в кардиологии chest pain voice hoarseness nerve compression of the recurrent nerve (cardiovocal syndrome) mediastinal stage of lung cancer |
| title | Thoracalgia in a Patient with Determined Coronary Heart Disease. Is there Always a Relapse of Angina Pectoris? |
| title_full | Thoracalgia in a Patient with Determined Coronary Heart Disease. Is there Always a Relapse of Angina Pectoris? |
| title_fullStr | Thoracalgia in a Patient with Determined Coronary Heart Disease. Is there Always a Relapse of Angina Pectoris? |
| title_full_unstemmed | Thoracalgia in a Patient with Determined Coronary Heart Disease. Is there Always a Relapse of Angina Pectoris? |
| title_short | Thoracalgia in a Patient with Determined Coronary Heart Disease. Is there Always a Relapse of Angina Pectoris? |
| title_sort | thoracalgia in a patient with determined coronary heart disease is there always a relapse of angina pectoris |
| topic | chest pain voice hoarseness nerve compression of the recurrent nerve (cardiovocal syndrome) mediastinal stage of lung cancer |
| url | https://www.rpcardio.online/jour/article/view/2109 |
| work_keys_str_mv | AT omdrapkina thoracalgiainapatientwithdeterminedcoronaryheartdiseaseistherealwaysarelapseofanginapectoris AT aazeynapur thoracalgiainapatientwithdeterminedcoronaryheartdiseaseistherealwaysarelapseofanginapectoris AT asklevina thoracalgiainapatientwithdeterminedcoronaryheartdiseaseistherealwaysarelapseofanginapectoris AT obvasileva thoracalgiainapatientwithdeterminedcoronaryheartdiseaseistherealwaysarelapseofanginapectoris |