Roller coasters: a source of fun and tears
- Simon G Anderson1,2,
- Tsun K Lai1,
- Tom Newton3,
- Scot Garg1
- 1Cardiology Department, Royal Blackburn Hospital, Blackburn, UK
- 2Cardiovascular Research Group, University of Manchester, Manchester, UK
- 3Radiology Department, Royal Blackburn Hospital, Blackburn, UK
- Correspondence to Dr Scot Garg, Cardiology Department, Royal Blackburn Hospital, Haslingden Road, Blackburn BB2 3HH, UK; scot.garg{at}elht.nhs.uk
- Received 14 November 2012
- Revised 14 November 2012
- Accepted 21 November 2012
- Published Online First 12 January 2013
A previously fit 43-year-old man presented with sudden onset, severe, tearing intrascapular chest pain one day after visiting an amusement park where he had engaged in a number of high-speed rides. Examination was unremarkable apart from a prominent diastolic murmur; blood pressure was 144/61 mm Hg. There was biochemical evidence of acute renal failure and microscopic haematuria. His electrocardiogram showed non-specific infero-lateral T-wave changes. Urgent trans-thoracic echocardiography (figure 1) demonstrated evidence of a …
