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Chest discomfort during angiography in a middle-aged woman
  1. A Shaheer Ahmed,
  2. Rahul Kumar,
  3. Anwar Hussian Ansari
  1. Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  1. Correspondence to Dr A Shaheer Ahmed, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India; ahmedshaheer53{at}

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Clinical introduction

A woman in her 50s with diabetes and hypertension presented with dyspnoea on exertion and atypical chest pain for 2 months. She had undergone percutaneous coronary intervention of the left circumflex coronary artery with an everolimus eluting stent a year ago. She was taken up for coronary angiography through radial access. Left coronary angiogram showed a normal left anterior descending artery and a patent stent in the left circumflex artery. Angiogram of the right coronary artery showed absence of flow beyond the mid-part (figure 1, online supplemental videos 1 and 2). The patient developed chest discomfort and diaphoresis immediately after the right coronary angiogram. Hence right coronary angiogram was repeated, …

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  • Contributors All authors were involved in patient care. ASA and RK were involved in preparing the manuscript and data collection. AHA gave critical input to the manuscript and gave the final approval.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

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