Clinico-pathological conferences. 5, Is it my heart?.

The video is preceeded by a Ciba Laboratories infomercial for Transiderm-Nitro. Part 1 is entitled 'Mr Simon Presents'. Mr Simpson is having tests on his heart in hospital on a treadmill with cardiogram. He recounts how he started to feel unwell. Part 2 is entitled 'Mr Simpson is referred to a rheumatologist' with the view that his shoulder plan in muscular rather than heart related. Mr Simpson describes his symptoms and then awaits the results of the tests. Still worried, he revisits the GP who carries out a resting ECG test in the surgery. Another series of tests are carried out - this time an exercise ECG. There are a number of cardiac and non-cardiac possibilities. The viewer is offered 1. Typical angina, 2. Atypical angina and 3. Cardiomyopathy. The symptoms are recapped. Real patients recount how they experienced similar symptoms. For one patient, an angiogram revealed a heart problem and he is offered an angioplasty. Another infomerical for Transiderm-Nitro is inserted. The symptoms are recapped for an alternative diagnosis; a patient outlines his symptoms. An angiography shows that the heart is normal but a barium swallow reveals a number of defects which are the cause of the patient's chest pain. Part 3; Typical Angina; the diagnosis is presented by Dr Richard Sutton, Consultant Cardiologist, Westminster Hospital.A patient outlines his symptoms. An angiogram as before is carried out. Finally a diagnosis of Hypertrophic Cardiomyopathy is offered. A patient with this condition describes the symptoms.