Progressive deterioration of left ventricular function in a
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Case:
A 67-year-old woman with 28 years of recurrent chest pain was admitted to hospital after 20 d of shortness of breath.

At the age of 39 years, she was diagnosed of an acute anterior wall MI based on her symptoms, typical evolution of ST-T abnormalities and elevation of cardiac enzymes. At that time, chest pain was induced by severe emotional stress, associated with radiation to the left shoulder, and heavy sweating, and was not relieved by nitroglycerin. The patient was hospitalized and treated accordingly. After discharge, she suffered from chest pain once or twice a week, relieved by rest or nitroglycerin. Again, 7 years and 11 years later, the patient had an acute anterior wall MI presenting as severe chest pain during sleep. In the third hospitalization, an echocardiogram revealed an anterior wall ventricular aneurysm. After discharge, chest pain occurred 3-5 times during the day, and occasionally at night. Each episode lasted 10-30 min, and symptoms could be relieved by rest or nitroglycerin. One year after the third MI, at the age of 53, she was hospitalized because of shortness of breath on exertion. An electrocardiogram (ECG) showed an old anterior wall infarction with right bundle branch block.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3342582/
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