Clinical Case Database / Category: Patient Management

An approach to the unwell patient post-PCI

Publication details

Peregrine Green, Andrew Jordan
Foundation Years Journal, volume 8, issue 2, p.12 (123Doc Education, London, February 2014)

Abstract

As percutaneous coronary intervention (PCI) becomes more prevalent, it is increasingly likely that Foundation doctors will be required to review those patients who have undergone this procedure when they become unwell, and carry out appropriate initial investigation and management. We present a fictional case of hypotension in a patient who has recently undergone PCI. This is a not uncommon scenario, and one for which there is a broad differential. We discuss these key differential diagnoses, and show how a structured approach to history and examination can allow them to be narrowed down
to a final diagnosis, allowing prompt and appropriate management.

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Authors

Peregrine Green

CMT 2, Royal Bournemouth Hospital
peregrinegreen@doctors.org.uk

Andrew Jordan

Cardiology ST5, Southampton General Hospital

References

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Conflict Of Interest

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The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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