Abstract:
:Four patients with elevated creatine phosphokinase (CPK) values and recurrent chest pain were found to have thoracic outlet syndrome. This association of abnormal CPK levels and chest pain due to thoracic outlet syndrome has not been previously reported. Symptoms and CPK values improved with anti-inflammatory medications and/or proper posture instruction. It is proposed that CPK values become elevated by ischemic or neurologic compromise of muscles supplied by the subclavian artery or brachial plexus respectively. Accordingly, chest pain in the same dermatomal distribution as that of angina pectoris may be simulated by ischemic skeletal muscle. Thoracic outlet syndrome therefore should be suspected in any patient with chronically abnormal CPK values and chest pain in whom no other etiology can be determined.
journal_name
Chestjournal_title
Chestauthors
Godfrey NF,Halter DG,Minna DA,Weiss M,Lorber Adoi
10.1378/chest.83.3.461subject
Has Abstractpub_date
1983-03-01 00:00:00pages
461-3issue
3eissn
0012-3692issn
1931-3543pii
S0012-3692(16)39982-2journal_volume
83pub_type
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