Chapter

Case 9

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/9780199556786.003.0071

Series: Oxford Case Histories

Case 9

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A 75-year-old retired male librarian presented with an 8-hour history of dull central chest pain radiating to his jaw, sweating, and palpitations. The pain was not positional or pleuritic, and did not improve with sublingual nitrates. He had sustained several NSTEMIs over the past 2 years, the last of which was only 2 weeks prior to this presentation. He denied exertional chest pains in the intervening period but was short of breath on moderate exertion (NYHA II). He was not diabetic, and he had a total cholesterol of 4.4 mmol/L and triglycerides of 1 mmol/L. His brother had recently died of an MI (aged 66 years). It was difficult to elicit any further history as he was deaf. However, he had brought a copy of the discharge summary from the admission 2 weeks previously (Fig. 9.1).

Chapter.  2274 words.  Illustrated.

Subjects: Cardiovascular Medicine

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