A 28 year old postpartum woman with right sided chest discomfort: case outcome

doi:10.1136/bmj.332.7542.643

BMJ 2006;332:643 (18 March), doi:10.1136/bmj.332.7542.643

Practice

Interactive case report

A 28 year old postpartum woman with right sided chest discomfort: case outcome

Girish Dwivedi, registrar in cardiology¹, Sajad Ahmed Hayat, registrar in cardiology¹, Andonis G Violaris, consultant cardiologist¹, Roxy Senior, consultant cardiologist¹

¹ Department of Cardiovascular Medicine, Northwick Park Hospital, Harrow, Middlesex HA1 3UJ

Correspondence to: R Senior roxy.senior@virgin.net

The first 150 words of the full text of this article appear below.

Four weeks ago we described the case of Mrs Patel, a 28 yearold postpartum woman with atypical right sided chest pain (18February BMJ 2006;332: 406[Free Full Text]). A treadmill exercise test was non-diagnosticbut stress echocardiography showed reduced systolic wall thickening(25 February BMJ 2006;332: 471[Free Full Text]).

Coronary angiography showed she had a critical lesion in theproximal left anterior descending artery with an associatedthrombus (fig 1). The circumflex and right coronary artery hadplaque disease but no flow limiting lesions. She had coronaryangioplasty, and a drug eluting stent was implanted at the stenosisin the proximal left anterior descending artery with excellentresults (fig 2). In addition to aspirin, levothyroxine, andmetformin, she was started on clopidogrel, atenolol, and lowdose atorvastatin. She was monitored overnight and dischargedthe following day. She remained well . . . [Full text of this article]

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