This pain typically lasts from 30 seconds to a few minutes. Patients often think that they are having a heart attack which causes them to panic. PCS manifests itself as a very intense, sharp pain, typically at the left side of the chest, which is worse when taking breaths. It also occurs, though less frequently, in adults. High Quality Content by WIKIPEDIA articles! Precordial Catch Syndrome (PCS), also known as Texidor's twinge, is a common cause of chest pain complaints in children and adolescents. Southern Medical Journal.High Quality Content by WIKIPEDIA articles! Precordial Catch Syndrome (PCS), also known as Texidor's twinge, is a common cause of chest pain complaints in children and adolescents. Pediatric chest pain: a prospective study. Selbst SM, Ruddy RM, Clark BJ, Henretig FM, Santulli T Jr.“Precordial catch”: a benign syndrome of chest pain in young persons. The painful anterior chest wall syndromes. The anterior chest wall syndrome: chest pain resembling pain of cardiac origin. The “precordial catch,” a syndrome of anterior chest pain. Precordial catch, a neglected syndrome of precordial pain. Les précordialgies: étude séméiologique sur les douleurs de la région du coeur. Revue générale de clinique et de thérapeutique 1893 7: 1-2 Precordial catch syndrome is not a diagnosis of exclusion.The diagnostic evaluation for precordial catch syndrome should consist almost exclusively of careful history-taking and physical examination. The pain is always described as sharp, stabbing, or needlelike it is well localized, and the patient can point to the painful area with one or two fingers. Precordial catch syndrome has a remarkably characteristic and consistent presentation and therefore is easily diagnosed. Gumbiner described precordial catch syndrome as a frequently encountered complaint in children which is underrecognized and commonly mistaken for other causes of pain Call it Texidor’s Twinge, and its sale is guaranteed Asher, 1959ġ978 – Sparrow and Bird reported 45 healthy patients with the same form of benign chest pain and commented on its underappreciated frequencyĢ003 – Carl H. Actors choose synonyms for this reason (stage names), and a memorable synonym, parenthetically subservient to the main title, will ensure the condition gets the recognition it needs. It is short, descriptive, and effective…but so that the syndrome may be more widely known, some publicity is needed. The name is admirable, and it does not imply any causal notions which might be refuted in a few years. A forced inspiration, in spite of the pain, may quickly relieve it Miller, Texidor 1959ġ959 – Richard Asher first proposed the eponymous term following his Lettsomian lectureĪs regards the name. This eases the pain attempts to take a deep inspiration aggravate it. Subsequently, breathing usually is confined to shallow chest excursions. The immediate reaction to the pain is a suspension of breathing in mid-respiration or expiration. It occurs at rest or during mild activity, and is often associated with a “bent over” or “slouched” posture. The pain is sharp, sudden in onset and severe, and is localized at or near the cardiac apex. Miller, Texidor 1955ġ959 – Miller and Texidor further defined the condition with an additional 18 patients. The term “ precordial catch” appears to be appropriate and makes no attempt to indicate the etiology of the pain. Two of them suggested that “it is as if something catches,” and most of the other patients have agreed that this is an appropriate description. The adjectives used include “knife-like,” “piercing,” “burning,” and “sharp.” All 10 of the patients stated the pain to be severe. The pain has been variously described by different patients. They reviewed 10 patients aged 22 to 35 one of whom was Miller himself. Miller (1922-2020) and Teodoro Antonio Texidor (1913-1998), working at the Michael Reese Hospital in Chicago. After having reviewed the various pains which can affect this region, our excellent teacher came to this conclusion: “ In general, with rare exceptions, each time a patient comes to complain to the doctor of a pain in the region of the heart, there is no organic cause“ġ955 – The Huchard syndrome of left-sided anterior chest pain in young healthy individuals was studied in greater detail by Albert J. Huchard suggested the name precordialgia be given to any pain, whether accompanied by anxiety or not, occurring in the precordial region. In a clinical lesson he gave at the Bichat hospital in November 1892, Mr.
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