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- S I Umarji.
- Accident and Emergency Directorate, Guys and St Thomas' Hospital Trust, London, UK.
- Eur J Emerg Med. 2000 Jun 1; 7 (2): 145-6.
AbstractA 25-year-old woman presented with chest pain. Electrocardiogram (ECG) on admission was normal. When she had recurrent chest pain a second ECG showed marked ST elevation in the anteroseptal leads. Coronary angiography confirmed occlusion of the left anterior descending coronary artery. She was subsequently found to have a coagulation abnormality. The case illustrates several important points. Inquiring about risk factors in patients with chest pain should include a question about abnormal clotting. It is important to exclude significant pathology in patients who may appear 'histrionic': inspection of a patient's belongings and collateral history may be invaluable.
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