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.