A case report detailing the clinical presentation of a 40-year-old man with sudden onset chest pain and a history of untreated hypertension.
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Alerts clinicians to evaluate chest pain in young patients with untreated hypertension; leaves open need for systematic data on incidence and outcomes.
Presentation of Case First admission. A forty-year-old man was admitted to the hospital because of the sudden onset of pain in the chest.During the previous four years the blood pressure had ranged between 140 and 170 systolic, 90 and 105 diastolic; no medication had been given. On the morning of admission he was awakened by a dull, aching pain in the interscapular region. On sitting up he experienced steady, constricting pain in the substernal region anteriorly, accompanied by slight shortness of breath and pain on deep inspiration, with radiation to the left shoulder. As he attempted to get out . . .
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McNeely et al. (1968) studied this question.
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