Case conferences from the Royal Brompton Hospital: a focus on myocardial ischaemia

This is the first in a regular series of ‘Case Conferences’ dealing with ‘difficult’ angina, or patients who present with challenging myocardial ischaemia (even in the absence of symptoms). Decisions are not always either ‘right’ or ‘wrong’ in such cases and the purpose is to aim for consensus on an appropriate management strategy. These cases are designed to be interactive and we encourage comments from our readers. We hope that you find these cases interesting and informative and that you join in the debate.