Clinical Case Database / Category: Patient Management

An approach to the unwell patient post-PCI

Publication details

Peregrine Green, Andrew Jordan
Foundation Years Journal, volume 8, issue 2, p.12 (123Doc Education, London, February 2014)


As percutaneous coronary intervention (PCI) becomes more prevalent, it is increasingly likely that Foundation doctors will be required to review those patients who have undergone this procedure when they become unwell, and carry out appropriate initial investigation and management. We present a fictional case of hypotension in a patient who has recently undergone PCI. This is a not uncommon scenario, and one for which there is a broad differential. We discuss these key differential diagnoses, and show how a structured approach to history and examination can allow them to be narrowed down
to a final diagnosis, allowing prompt and appropriate management.

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Peregrine Green

CMT 2, Royal Bournemouth Hospital

Andrew Jordan

Cardiology ST5, Southampton General Hospital


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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