Picture quiz: Stable angina
BMJ 2002; 324 doi: https://doi.org/10.1136/sbmj.0206186 (Published 01 June 2002) Cite this as: BMJ 2002;324:0206186
- M G Tryfonides, fourth year medical student1,
- C S Zipitis, fourth year medical student2,
- N P Curzen, consultant cardiologist2
- 1University of Manchester
- 2Manchester Royal Infirmary
Case history
A 60 year old woman presented to her general practitioner with nine months' history of chest pain. The pain was worse on exertion and temporarily relieved by glyceryl trinitrate spray. She had a long standing history of hypertension treated with bendrofluazide and hypercholesterolaemia treated with a statin. She was also on aspirin.
An exercise test was arranged which showed sinus tachycardia segment depression in leads I, II, III, and V1-V6, accompanied by chest pain. Following this the investigation shown in figs 1 and 2 was performed. Fig 3 is a graphical representation of the outline of the heart and the major coronary arteries.
Questions
(1) What is the investigation shown in figs 1 and 2?
(2) Can you name the structures A, B, and C?
(3) What are the three possible treatment options for this woman …
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