It is characterized by severe and persistent retrosternal pain
, increased serum myocardial enzymes activity and progressive electrocardiographic changes.
The degree of symptoms, including weight loss, dysphagia, retrosternal pain
, and regurgitation, was graded pre- and postoperatively using the Eckardt score.
Although the complaints of patients vary in cases of oesophageal foreign bodies, the most common symptoms are dysphagia and vomiting,4 the accumulation of saliva in the mouth, and retrosternal pain
, occasionally associated with myocardial infarction, may also occur.
Seven patients complained of retrosternal pain
. Eight (17%) patients had hyperthyroidism and were treated with antithyroid agents preoperatively.
Symptom score was graded according to the Eckardt score  for weight loss (0 = none, 1 = <5 kg, 2 = 5-10 kg, and 3= > 10 kg), dysphagia (0 = none, 1 = occasional, 2 = daily, and 3 = each meal), retrosternal pain
(0 = none, 1 = occasional, 2 = daily, and 3 = each meal), and regurgitation (0 = none, 1 = occasional, 2 = daily, and 3 = each meal), and the dysphagia score  (0 = no dysphagia, 1 = able to eat some solid foods, 2 = able to eat semisolid foods, 3 = able to swallow liquids only, and 4 = unable to swallow anything).
When clinically recognizable, the symptomatology of AP mainly includes central and pleuritic chest pain and sharp retrosternal pain
with common characteristics such as irradiation to one or both trapezius ridges, neck, jaw, or arms imitating myocardial ischemia with various degrees of severity [1, 5].
(4) Dysphagia, regurgitation, vomiting, retrosternal pain
, heartburn, weight loss, avoidance of eating, consumption of large amount of liquids and aberrant eating behaviours are overlapping symptoms of achalasia and BN.
It normally presents with pressure symptoms like respiratory distress due to pressure on the bronchi or lung, cough, cyanosis, retrosternal pain
, and dysphagia.
55 (63.2%), 30 (34.5%) and 21 (24.1%) patients presented with regurgitation, retrosternal pain
and odynophagia respectively.
Ten days post-admission the patient started complaining of a sharp retrosternal pain
radiating to the left scapula, associated with pericardial friction rub along the lower left sterna border.
A month ago, the patient was hospitalized for retrosternal pain
, shortness of breath, but also left side chest pain accompanied by left pleural friction rub and systemic inflammatory response (ESR of 84 mm, fibrinogen of 780 mg/dl, C-reactive protein of 27 mg/dl, leukocytosis of 13.600/[mm.sup.3], 77 percent neutrophils).
A healthy 20-year-old male who was never a smoker and with no history of trauma, drug abuse, or respiratory disease presented with retrosternal pain
and dyspnea, preceded by a three-day history of irritative cough and odynophagia.