Case 33

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 33

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A 23-year-old Asian woman presented to the ED with a 2-hour history of palpitations that began whilst she was carrying washing up stairs. It was associated with chest tightness, ‘heaviness’ in the left arm, and presyncope. She was unable to give any more history. On examination she was drowsy, tachycardic (over 200 bpm), and had a BP of 100/60 mmHg. There were no signs of cardiac failure, but a symmetrical rash was noted on the face.

Chapter.  1370 words.  Illustrated.

Subjects: Cardiovascular Medicine

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