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Tag Archives: patient history

When you can’t obtain a history…

April 2016 Br J Cardiol 2016;23:78 doi:10.5837/bjc.2016.017 Online First

When you can’t obtain a history…

Luciano Candilio, Juliana Duku, Alexander W Y Chen

Abstract

Figure 1. Patient chest X-ray showing a ‘full metal jacket’ Her physical examination and vital signs were unremarkable. Routine blood tests had been requested. Resting 12-lead electrocardiogram (ECG) showed left bundle branch block; no previous ECGs were available for comparison. A chest X-ray was performed, which gave another clue to the diagnosis… The chest radiograph (figure 1) shows clear lung fields, normal cardiac contour and, more importantly, a radio-opaque structure across the anterior surface of her heart. This is sometimes termed a ‘full metal jacket’, implying extensive stenting of a coronary artery in its entirety f

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