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Previous Volume 353:75-80 July 7, 2005 Number 1 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.

A 36-year-old woman in her 34th week of pregnancy presented to the emergency department after the onset of severe substernal chest pain. The chest pain was sudden in onset and had awoken her from sleep in the early morning. She also noted diaphoresis and nausea. She did not have dyspnea, dizziness, syncope, hemoptysis, cough, or fever.

Chest pain in a pregnant woman . . . [Full Text of this Article]

Commentary

Source Information

From the Health Services Research and Development Center of Excellence, Ann Arbor Veterans Affairs Medical Center, and the Department of Internal Medicine, University of Michigan — both in Ann Arbor (B.K.N., S.S.); the Orange Coast Women's Medical Group and the Department of Obstetrics and Gynecology, Saddleback Hospital, Laguna Hills, Calif. (M.S.); and the Gill Heart Institute and the Department of Internal Medicine, University of Kentucky School of Medicine, Lexington (D.M.).

Address reprint requests to Dr. Nallamothu at B1F266 University Hospital, Ann Arbor, MI 48109-0366, or at bnallamo@umich.edu.

This article has been cited by other articles:

• Roth, A., Elkayam, U. (2008). Acute myocardial infarction associated with pregnancy.. J Am Coll Cardiol 52: 171-180 [Abstract] [Full Text]