Intended for healthcare professionals

Rapid response to:

Practice Interactive case report

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

BMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7538.406 (Published 16 February 2006) Cite this as: BMJ 2006;332:406

Rapid Response:

Needs further investigations

From the information given there is no clue as to what is causing her
symptoms although angina remains a possibility.

The ECG grid does not correspond with the size of the QRS complexes.
I presume the heart rate is normal.

She needs further investigations. Blood tests (FBC, ESR, U&E, XDP,
LFT, TSH) and chest X-ray to assess heart size and mediastinum) and
transthoracic echocardiogram looking for pericardial effusion and to
assess right ventricle and aortic root. Depending on the results go on to
exercise ECG.

Competing interests:
None declared

Competing interests: No competing interests

20 February 2006
Kishore Shetty
GP
Pallion Health centre Sunderland SR4 7XF