You are here

Article Text

Article menu
Download PDFPDF
Heart failure and cardiomyopathies
Image challenge
“Unstable angina” in a man aged 53 years
  1. Logan L Vincent,
  2. Selma D Carlson,
  3. Eric V Krieger
  1. Department of Medicine, Division of Cardiology, University of Washington, Seattle, Washington, USA
  1. Correspondence to Dr Logan L Vincent, Department of Medicine, Division of Cardiology, University of Washington, Seattle 98195, USA; lvincent{at}cardiology.washington.edu

https://doi.org/10.1136/heartjnl-2018-314651

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 man aged 53 years presented to the emergency department with several hours of substernal chest pain radiating to his left arm. He had multiple myeloma treated with bortezomib, lenalidomide and dexamethasone. ECG showed inferior ST segment elevations. Troponin I was >73 ng/mL on hypersensitive troponin assay. Cardiac catheterisation was performed without obstructive coronary disease. Transthoracic echocardiogram showed normal left ventricular ejection fraction with abnormal global longitudinal strain of −10%. The patient developed ventricular tachycardia requiring electrical cardioversion. Repeat echocardiogram 48 hours later showed …

    View Full Text

    Footnotes

    • 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; externally peer reviewed.

    • Patient consent for publication Not required.