Background: Epipericardial fat necrosis (EFN) presents as acute chest pain with the potential to mimic life-threatening conditions. It is unclear whether this is truly a rare condition, or simply underdiagnosed by low threshold of suspicion. The literature suggests an estimated prevalence of 2% of EFN as the cause of chest pain in all patients presenting [...]

Background: Coronary Computed Tomography Angiography (CCTA) is a common anatomic modality for detection of cardiac ischemia in the setting of chest pain hospitalizations. However, invasive coronary angiography (ICA) is the gold standard for diagnosing ischemic coronary artery disease. Research showed that CCTA has a high sensitivity but lacks the specificity and accuracy component of Fractional [...]

Case Presentation: 19-Year-old ,African American, female with significant medical history of hypertension, Uncontrolled Diabetes Mellitus, presents with chest pain for 24 hr. Pain was sub-sternal, pressure like,7/10,radiating to right arm and in between the shoulder blades, persistent ,precipitated by drinking alcohol the night before ,associated with Shortness of breath and palpitations. Patient had a history [...]

Case Presentation: A 21-year-old male with no past medical history presented to the emergency room with sudden onset chest pain, bradycardia, and hypotension. He described feeling chest “pressure” that led to shallow breaths. His pain was substernal, pleuritic, non-radiating, and associated with palpitations. He had mild relief when sitting up. Symptoms started that morning and [...]