A 55 year old woman presenting with chest pain was found to have significant triple vessel coronary artery disease. Non-invasive investigations showed that she had a good exercise tolerance without inducible ischaemia. The history was more suggestive of an oesophageal source of pain, an impression supported by manometry. This case illustrates some of the problems encountered during the investigation of chest pain and the need to interpret angiographic findings in the context of the patient's functional state.
Get full access to this article
View all access options for this article.
References
1.
EvansW.Faults in diagnosis of cardiac pain. Br Med J1959; i: 249–254.
2.
CASS principal investigators and their associates. Coronary artery surgery study (CASS). A randomised trial of coronary artery bypass grafting. Circn1983; 68: 939–950.
3.
BonowRO, KentKM, RosingDRExercise ischaemia in mildly symptomatic patients with coronary artery disease and preserved left ventricular function. N. Eng J. Med1984; 311: 1339–1345.
4.
RutherfordJD, BraunwaldE.Selection of patients for the surgical treatment of coronary artery disease. QJMed1988.
