Chapter

Case 16

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/9780199556786.003.0127

Series: Oxford Case Histories

Case 16

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A 28-year-old eastern European student was found to be hypertensive when he enrolled at a local gym, with a BP of 170/80 mmHg, and was asked to see his GP. He explained that he had wanted to start working out because he felt limited by occasional breathlessness on exertion and cramping pains in his legs when riding his new bicycle. He denied having any other medical history but did complain of frequent headaches. His GP heard a continuous systolic and diastolic murmur, performed a 12 lead ECG (Fig. 16.1), requested a chest X-ray (Fig. 16.2), started amlodipine 5 mg, and referred him to a cardiologist.

Chapter.  1767 words.  Illustrated.

Subjects: Cardiovascular Medicine

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