Cardiovascular
Case 3: A Patient with Severe Central Chest Pain
CASE
A 53‐year‐old man presents to A&E with severe central chest pain radiating through to his scapular. Apparently the pain came on suddenly. He is known to be hypertensive. Examination reveals that he is sweaty, pale and unwell. Although he is in pain he is cooperative and able to answer questions. His BP is 80/40 mmHg. His jugular venous pressure is not raised. There is an early diastolic murmur but his chest is clear. His abdomen is soft. ECG shows sinus rhythm with ECG evidence of left ventricular hypertrophy. There is no ECG evidence of acute myocardial infarction (MI). Chest X‐ray film shows a widened mediastinum.
QUESTION 1
Your score this session: 0 of 0
What is your provisional diagnosis?