Case 40-2010 — A 68-Year-Old Woman with Chest Pain during an Airplane Flight  

Oleh:

Picard, Michael H. ; Rosenfield, Kenneth ; Digumarthy, Subba ; Smith, R. Neal

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 363 no. 27 (Dec. 2010), page 2652-2661.
Topik: Chest Pain; Coronary Angiography

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2010.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Dr. Shveta Raju (Medicine): A 68-year-old woman with a history of hypertension and hyperlipidemia was admitted to the hospital because of substernal chest pain. The patient had been well until approximately 24 hours before admission, when substernal chest pain and pressure developed gradually during an international airplane flight from the Middle East to Europe. The pain did not radiate, and it fluctuated in intensity and resolved spontaneously after several hours. Chest pain recurred during the subsequent flight to the United States; the patient fell asleep, and on arrival in Boston, the pain had resolved. Late that evening, approximately 3 hours before admission, substernal chest pain recurred, associated with diaphoresis and weakness. The blood pressure, measured by the patient's daughter, a physician, was 250/140 mm Hg. The patient took amlodipine and atenolol, which she had not taken while traveling. The chest pain improved but recurred 1 hour later. Her daughter took her to the emergency department at another hospital.

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