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Reminder of important clinical lesson
Chest pain, breathlessness and ST elevation in a 21-weeks' pregnant woman: a diagnostic and management challenge
  1. Charles J Butcher1,
  2. Carla M Plymen2,
  3. Fiona Walker3
  1. 1Brompton and Harefield NHS Hospital Trust, London, UK
  2. 2Department of GUCH, The Heart Hospital, Westminster, London, UK
  3. 3The Heart Hospital, Westminster, London, UK
  1. Correspondence to Fiona Walker, fiona.walker{at}


This case highlights the importance of differentiating between normal physiological changes of pregnancy and symptoms that are pathological. It discusses the presentation of heart failure during pregnancy and the differential diagnoses that should be considered. It also highlights the difficult management decisions that may have to be made in order to protect maternal health.

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  • Competing interests None.

  • Patient consent Obtained.