Chapter

Case 8

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/9780199556786.003.0066

Series: Oxford Case Histories

Case 8

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A 40-year-old heavy goods vehicle (HGV) driver was referred to the cardiology clinic for a Driver and Vehicle Licensing Agency (DVLA) assessment of fitness to drive Group 2 vehicles (public transport vehicles) because of a 6-month history of epigastric ache that was sometimes associated with exertion, particularly after eating. He had thought his symptoms were indigestion but went to see his GP when antacids failed to work. His risk factors for coronary disease were smoking, a total cholesterol of 6.4 mmol/L and a strong family history of IHD. He was not taking any medication and physical examination was unremarkable with a resting BP of 135/70 mmHg.

Chapter.  1880 words. 

Subjects: Cardiovascular Medicine

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