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Typical effort angina in a tall adult
  1. Abhrajyoti Biswas,
  2. Anand Shukla,
  3. Shyam Sunder Kothari
  1. Cardiology, UN Mehta Institute of Cardiology and Research Centre, Ahmedabad, Gujarat, India
  1. Correspondence to Dr Shyam Sunder Kothari, Cardiology, UN Mehta Institute of Cardiology and Research Centre, Ahmedabad, Gujarat 380016, India; kothariss100{at}

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Clinical introduction

A tall adult presented to the outpatient department with the history of chest pain typical of angina on moderate exertion for the last 8 months. The patient had physical features suggestive of Marfan syndrome. On examination, heart rate 88/min, blood pressure 110/50 and a murmur of aortic regurgitation were found. A two-dimensional echocardiography showed severe aortic regurgitation and left ventricular dilatation (left ventricular end-diastolic dimension 60 mm) with ejection fraction …

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  • Contributors All authors contributed equally to patient care, conceptualising, writing and approving the manuscript.

  • 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.

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