Case History / Examination
In July 2023, 38 years old female patient presented to our cardiac OPD
with chest pain of 2 month duration after she visited different
hospitals for this complaint. The pain was intermittent, retrosternal
and squeezing in type that radiates to left arm, and jaw. The pain is
also associated with diaphoresis and it is exacerbated with exertion.
She was repeatedly visiting nearby hospital for this complaint and
investigated with ECG and troponin, which were all normal. She was also
given nitrates but she had no response. Up on further inquiry she told
that she has migraine for which she takes analgesics. Otherwise, she
doesn’t have chronic medical illnesses or comorbidities. She also denies
any substance use. She doesn’t have family history of cardiac illness or
sudden cardiac death.
Up on physical examination, she was healthy looking and her vital sign
and the rest of physical examination were unremarkable.