Clinical Case Studies

A 71-year-old male had felt chest oppression on effort, such as when carrying heavy baggage, for 1 year.

Recently, his chest symptoms had occurred more frequently.

One month before admission he felt chest squeezing at rest in the early morning.

He presented at our institution for an evaluation of his chest symptoms.

Coronary risk factors such as smoking, hypertension, and diabetes mellitus were all absent, although he had a low level of high-density lipoprotein (HDL) cholesterol.

His mother had angina pectoris.

He had undergone operations for appendicitis and prostate cancer at the ages of 25 and 69 years, respectively.

On medical examination, his height was 1.63 m, his weight was 73 kg, and his body mass index was 27.5.

His vital signs were stable with a blood pressure of 110/80 mmHg and a pulse of 59 beats/min.

No cardiac murmur or abnormal respiratory sounds in the lungs were detected.

Blood examinations revealed elevated levels of creatinine (1.06 mg/dL), uric acid (9.4 mg/dL), and triglycerides (227 mg/dL), and a low level of HDL cholesterol (35 mg/dL).

Neither a chest X-P, electrocardiogram, nor echocardiography showed any specific changes.

He was admitted to our institution for coronary angiography (CAG) because of the possibility that his chest symptoms were due to myocardial ischemia.

 

 

 

Angina, Stable

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