European Heart Journal Advance Access originally published online on August 7, 2007
European Heart Journal 2008 29(1):78; doi:10.1093/eurheartj/ehm344
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org
An unusual cause of dyspnoea in an 83-year-old woman
Department of Cardiology, Royal North Shore Hospital, Pacific Hwy, St Leonards, NSW 2065, Australia
* Corresponding author. Tel: +61 2 99268687, Fax: +61 2 99067807. Email: km_chia@yahoo.com
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An 83-year-old woman was referred for assessment of rapidly worsening dyspnoea, limiting mobility to 10 yards. She had a history of multiple potential sources of her dyspnoea: coronary artery disease (previous stenting of the right coronary artery, a chronic total occlusion of the mid left anterior descending artery, and 50% stenosis in the circumflex with normal left ventricular function), chronic obstructive airways disease requiring inhaled bronchodilators and steroids, and