Ms. M, a 65-year-old lady with controlled hypertension attends her GP appointment. She was recently discharged by the emergency department having presented with central chest pain that radiated to her left arm. This was her second presentation within 6 months. The discharge paper-. work noted a normal cardiovascular examination and blood pressure readings. She had an abnormal electrocardiogram showing an acute anterior myocardial infarction, but serial troponin testing was negative. She was referred to the cardiology clinic for further assessment by her GP. The subsequent coronary angiogram revealed normal coronary arteries. A cardiac magnetic resonance imaging was organised to further evaluate the coronary vasculature and overall function of the heart. The diagnosis was subsequently confirmed as microvascular angina.
展开▼
