Clinical Case Database / Category: Patient Management

An ACS but not as we know it?

Publication details

F Khan, S Banerjee, C Allen
Foundation Years Journal, volume 7, issue 6, p.20 (123Doc Education, London, June 2013)


The on call medical F1 was called to A&E to review a 56 year old Caucasian female presenting with chest pain. The history was of acute onset severe, central crushing chest pain, with no radiation or associated features. The pain was at its most intense for two hours, starting while at the funeral of her husband. The trigger was felt to be a poem being read by her son, which triggered an intense emotional response. The pain continued intermittently for the subsequent 24 hours but was ignored and put down to the stress of the day. She presented to her A&E the following afternoon, encouraged by
other family members.

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F Khan


S Banerjee


C Allen



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