You are here

Article Text

Article menu
Download PDFPDF
Image challenge
Ischaemic chest pain in a 65-year-old man
  1. Amar Mistry,
  2. Gerry McCann,
  3. Doug Skehan
  1. Department of Cardiology, Glenfield Hospital, Leicester, UK
  1. Correspondence to Dr Amar Mistry, Department of Cardiology, Glenfield Hospital, Groby Road, Leicester LE5 9QP, UK; amarmistry{at}nhs.net

https://doi.org/10.1136/heartjnl-2015-308523

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Clinical introduction

    A 65 year old man with type 2 diabetes mellitus presented with ischaemic chest pain. The admission ECG revealed ST elevation in V2–V3 (see online supplementary material image) and the patient promptly underwent an invasive coronary angiogram with a view to primary percutaneous intervention. The angiogram revealed no flow-limiting lesions in the left coronary system and moderate, mid vessel, non-flow limiting disease of a dominant right coronary artery (RCA) which did not warrant intervention (figure 1A, B, see online supplementary video). Transthoracic echocardiography was performed the following day but was of poor diagnostic quality and did not demonstrate any significant …

    View Full Text

    Footnotes

    • Contributors All authors have read and approved the case. Each author has contributed significantly to the work. AM was responsible for the review of literature and writing the case, GM was responsible for interpretation of images and contributed to writing the case. DS was the consultant in charge of the patient's care.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.