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En tidligere strålebehandlet kvinne med brystsmerter
Engelsk titel: Chest pain in a woman previously treated with irradiation Läs online Författare: Hovland A ; Björnstad H ; Ytre-Arne K ; Maisenholder M ; Vik-Mo H Språk: Nor Antal referenser: 11 Dokumenttyp: Fallbeskrivning UI-nummer: 08011238

Tidskrift

Tidsskrift for Den Norske Laegeforening 2008;128(2)186-7 ISSN 0029-2001 E-ISSN 0807-7096 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

X : A 34-year-old woman developed chest pain during exercise. She had been treated for Hodgkin lymphoma with irradiation (mantle field) and cytotoxic drugs (ABVD) 15 years earlier, and had risk factors for coronary artery disease (smoker status and family history). An exercise ECG showed significant ST depressions and an echocardiogram was normal. She underwent coronary angiography, which revealed three vessel disease (including stenosis of the left main stem); bypass grafting was successfully performed. This case illustrates the fact that even young women may develop extensive coronary disease and that development of coronary artery disease may be accelerated after irradiation of the thorax.