Case 5

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:

Series: Oxford Case Histories

Case 5

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A 35-year-old body-builder was referred to the rapid access chest pain clinic. He gave a 6-month history of occasional exertional chest tightness on the days after weight training. However, he was asymptomatic whilst weight training three times a week. He thought these pains were muscular and so stopped training, but as his symptoms failed to settle, he sought his GP’s advice. He had smoked 10 cigarettes a day for 20 years, admitted to smoking marijuana but denied any other drug use (including anabolic steroids). There was no relevant family history. The fasting blood glucose was 4.3 mmol/L, with a total cholesterol of 7.7 mmol/L and triglycerides of 1.9 mmol/L. Cardiovascular examination was unremarkable and his BP was 130/90 mmHg.

Chapter.  1482 words.  Illustrated.

Subjects: Cardiovascular Medicine

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