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which would suggest reduced rates of major adverse cardiac events with coronaryarterybypassgrafting." Upon questioning patient, he denies having any chestpain or chest tightness of any sort. Pericarditis would be even more unlikely in someone without chestpain. It does not radiate.
It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chestpain, weakness and nausea. A transthoracic echocardiogram showed an LV EF of less than 15%, critically severe aortic stenosis , severe LVH , and a small LV cavity.
There was no significant sex difference in the frequencies of significant coronaryartery disease (38.2% of men;P=0.073), but female participants had significantly less coronary flow impairment, according to the presence of at least 1 fractional flow reserve derived from computed tomography0.8 of women versus 51.3% versus 71.5%;P=0.008).
We present a case of severe stenosis of LMCA found by coronary angiography (CAG) due to recurrent chestpain, and subsequently received coronaryarterybypassgrafting (CABG). Nine years later, the patient was readmitted to the hospital because of precordial discomfort.
A 69 year old woman with a history of hypertension presented to the emergency department by EMS for evaluation of chestpain and shortness of breath. She awoke in the morning with sharp chestpain which worsened throughout the morning. As her pain worsened, so did her dyspnea. This was written by Hans Helseth.
A 50-something man presented with worsening severe exertional chestpain which was just resolving as he had an ECG recorded in triage. Angiogram: Severe two-vessel coronaryartery disease of a left dominant system including 70 to 80% stenosis involving the distal left main/bifurcation. Hard to tell.
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