100 Cases in Clinical Medicine

(Rick Simeone) #1

CASE 51: CHEST PAIN


History


A 62-year-old man is admitted to hospital with chest pain. The pain is in the centre of the
chest and has lasted for 3 h by the time of his arrival in the emergency department. The
chest pain radiated to the jaw and left shoulder. He felt sick at the same time. He has a his-
tory of chest pain on exercise which has been present for 6 months. He has smoked 10 cig-
arettes daily for 40 years and does not drink alcohol. He has been treated with aspirin and
with beta-blockers regularly for the last 2 years and has been given a glyceryl trinitrate
spray to use as needed. This turns out to be two or three times a week. His father died of
a myocardial infarction aged 66 years and his 65-year-old brother had a coronary artery
bypass graft 4 years ago.


He has no other previous medical history. He works as a security guard.


Examination


He was sweaty and in pain but had no abnormalities in the cardiovascular or respiratory
systems. His blood pressure was 138/82 mmHg and his pulse rate was 110/min and regular.


His electrocardiogram (ECG) is shown in Fig. 51.1.

INVESTIGATIONS


aVR V1 V4

V2

V3 V6

II aVL V5

I

II

III aVF

Figure 51.1Electrocardiogram.


He was given analgesia and thrombolysis intravenously and his aspirin and beta-blocker
were continued. His pain settled and after 2 days he began to mobilize. On the fourth day
after admission, he became more unwell.


On examination, now his jugular venous pressure is raised to 6 cm above the manubrioster-
nal angle. His blood pressure is 102/64 mmHg, pulse rate is 106/min and regular. His tem-
perature is 37.8°C. On auscultation of the heart, there is a loud systolic murmur heard all
over the praecordium. In the respiratory system, there are late inspiratory crackles at the
lung bases and heard up to the mid-zones. There are no new abnormalities to find elsewhere
on examination. His chest X-ray is shown in Fig. 51.2.

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