Chapter

Case 4

Rajkumar Rajendram, Javed Ehtisham and Colin Forfar

in Oxford Case Histories in Cardiology

Published on behalf of Oxford University Press

Published in print March 2011 | ISBN: 9780199556786
Published online November 2012 | e-ISBN: 9780191753305 | DOI: http://dx.doi.org/10.1093/med/9780199556786.003.0030

Series: Oxford Case Histories

Case 4

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A 39-year-old south Asian man presented to the ED with a 3-week history of chest pain. This burning, central, lower chest pain was not clearly associated with exertion. It did not radiate and there were no associated symptoms. He smoked 20 cigarettes per day. There was no past medical history but his father had died of a heart attack at the age of 41 and there was a family history of diabetes. He had presented twice in the preceding 3 weeks. On both previous occasions ECG and cardiac enzymes were reported to be normal. On the second occasion gastro-oesophageal reflux was diagnosed and he was prescribed Ranitidine 150 mg bd.

Chapter.  1817 words.  Illustrated.

Subjects: Cardiovascular Medicine

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