A 33-year-old man with atypical chest pain.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 27634411.
- Also identified by DOI 10.1136/heartjnl-2016-310278 and PMC identifier 5529967.
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Abstract
A 33-year-old man with no history of coronary artery disease presented to the rapid access cardiology clinic with an episode of atypical anginal chest pain. He had a 15 pack-year history of smoking and a family history of myocardial infarction under the age of 55. Physical examination and exercise ECG testing were unremarkable. On assessment in the cardiology clinic, blood sampling was notable for an elevated high-sensitivity troponin I of 61 ng/L (99% upper reference level, 34 ng/L). A coronary CT angiogram was performed (figure 1). Which of the following best explains this presentation? MyocarditisMyocardial bridgingKawasaki's diseaseAtherosclerotic plaque ruptureEosinophilic coronary monoarteritis.
Medical subject headings
- Angina Pectoris
- Coronary Artery Disease
- Coronary Vessels
- Plaque, Atherosclerotic