A 48 year old male with jaundice and exertional chest pain

Abstract

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A 48 year old male attended the cardiac outpatient department with the complaints of chest pain on exertion. Two years back, he developed chest pain on exertion. The pain was retrosternal, dull in nature, non-radiating, aggravated on exertion and relieved by rest. There was no relation with food intake and not relieved by taking H₂ blocker. The patient was a known case of hypertension for the last 10 years. He was on antihypertensive medication and his blood pressure was controlled with therapy. There was no history of respiratory distress and cough. With these complaints, he at first attended to a nearby Government medical college hospital in Barisal (South central division of Bangladesh).