Case 46

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 46

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A 70-year-old man with hypertension treated only with amlodipine 5 mg a day was brought to hospital by ambulance 1 hour after the onset of severe central crushing chest pain and breathlessness at rest. The paramedics had performed an ECG at the scene (Fig. 46.1) and transmitted this to the CCU. On admission to the CCU the patient was alert, orientated, and haemodynamically stable. Cardiovascular examination was unremarkable. Aspirin and high-flow oxygen had already been administered by the paramedics. Clopidogrel, intravenous morphine, and sublingual GTN were given in CCU before the patient was transferred to the cardiac catheter laboratory.

Chapter.  2912 words.  Illustrated.

Subjects: Cardiovascular Medicine

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