Figure 1. Right anterior oblique (RAO) cranial view of left anterior descending (LAD) artery
Her observations were recorded as heart rate 60 bpm regular, blood pressure 119/63 mmHg, jugular venous pressure was not elevated, no ankle oedema, S1 and S2 present with an apical grade 2/6 mid-systolic murmur and her chest auscultation was clear. Electrocardiogram (ECG) was recorded as normal.
The patient managed to complete 10:16 minutes of a Bruce Protocol of exercise stress test (EST) with 2.1 mm of ST depression in V5 and V6. Despite the non-specificity of her symptoms and a positive EST, she was referred for a cardiac echocardiogram and cardiac