April 2011 Br J Cardiol 2011;18:94−6
Shahid Aman, Philip Hasleton, Azad Hanna
Case presentation A 51-year-old woman was referred to our cardiology clinic with palpitations and visible pulsations in her neck. By profession she was a nurse and had been previously fit and well. She moved to Wales from South Africa six years ago. She was a non-smoker with no history of alcohol abuse. She denied any chest pain or shortness of breath and reported excellent exercise tolerance. Observations showed a blood pressure of 157/66 mmHg, pulse of 86 beats per minute (collapsing in nature), and jugular venous pressure was normal. She had normal first heart sound with an early diastolic murmur. Electrocardiogram (ECG) showed left ventr
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