{"doi":"10.5811/cpcem.2021.9.53553","title":"A Rare Cause of Chest Pain Identified on Point-of-care Echocardiography: A Case Report","abstract":"<jats:p>Introduction: Cardiac masses are a rare cause of chest pain. They can often be missed on a chest radiograph performed to evaluate non-specific chest pain and are not readily evaluated with traditional laboratory testing. However, these masses can be visualized with point-of-care ultrasound.\nCase Report: We present a case of a 19-year-old female presenting with intermittent chest pain, palpitations, and weakness present for two months. The patient had previously been evaluated at our emergency department one week earlier and was diagnosed with anxiety before being discharged. Besides a tachycardic and labile heart rate, physical examination and laboratory testing were unremarkable. Point-of-care cardiac echocardiography subsequently demonstrated findings concerning for a cardiac mass.\nConclusion: Cardiac masses are a rare cause of chest pain and palpitations that are easily missed. The advent of point-of-care ultrasonography has afforded us the ability to rapidly assess for structural and functional cardiac abnormalities at bedside, and incorporation of this tool into the evaluation of patients with chest pain offers the ability to detect these rare pathologies.</jats:p>","journal":"Clinical Practice and Cases in Emergency Medicine","year":2022,"id":605707,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1554622,"name":"Kassandra King","orcid":null,"position":1,"is_corresponding":false},{"id":1554623,"name":"Nicholas George","orcid":null,"position":2,"is_corresponding":false},{"id":1554624,"name":"Michael Neeki","orcid":null,"position":3,"is_corresponding":false},{"id":1554625,"name":"Jamshid Mistry","orcid":null,"position":4,"is_corresponding":false},{"id":813573,"name":"Brian Chin","orcid":"0000-0002-1789-0359","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"A Rare Cause of Chest Pain Identified on Point-of-care Echocardiography: A Case Report","abstract":"INTRODUCTION: Cardiac masses are a rare cause of chest pain. They can often be missed on a chest radiograph performed to evaluate non-specific chest pain and are not readily evaluated with traditional laboratory testing. However, these masses can be visualized with point-of-care ultrasound. CASE REPORT: We present a case of a 19-year-old female presenting with intermittent chest pain, palpitations, and weakness present for two months. The patient had previously been evaluated at our emergency department one week earlier and was diagnosed with anxiety before being discharged. Besides a tachycardic and labile heart rate, physical examination and laboratory testing were unremarkable. Point-of-care cardiac echocardiography subsequently demonstrated findings concerning for a cardiac mass. CONCLUSION: Cardiac masses are a rare cause of chest pain and palpitations that are easily missed. The advent of point-of-care ultrasonography has afforded us the ability to rapidly assess for structural and functional cardiac abnormalities at bedside, and incorporation of this tool into the evaluation of patients with chest pain offers the ability to detect these rare pathologies.","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"35701360","pmcid":"PMC9197749","openalex_id":"https://openalex.org/W4281829275","authors":[],"funders":[],"total_grants":0,"fwci":0.0,"citation_percentile":0.1288622,"influential_citations":0,"citation_trend":[],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://doi.org/10.5811/cpcem.2021.9.53553","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/35701360","host_type":"repository"},{"url":"https://doaj.org/article/228e7725092b4f4aa8cbb912fbc423b6","host_type":"repository"},{"url":"https://escholarship.org/uc/item/4p48s4r3","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9197749","host_type":"repository"},{"url":"https://escholarship.org/content/qt4p48s4r3/qt4p48s4r3.pdf?t=rcmb6q","host_type":"Unpaywall"},{"url":"https://europepmc.org/articles/PMC9197749","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC9197749?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":["Pericarditis and Cardiac Tamponade","Cardiac tumors and thrombi","Ultrasound in Clinical Applications"],"mesh_terms":[],"keywords":["Palpitations","Chest pain","Medicine","Chest radiograph","Emergency department","Radiology","Physical examination","Weakness","Cardiac Ultrasound","Intensive care medicine","Cardiology","Radiography","Ultrasound","Surgery","Nursing"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-07-30T03:03:50.502949Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}