We report the case of a 58-year-old man with a long history of atypical chest pain and at which time he had cardiovascular risk factors such as hypertension (AHT), dyslipidemia and body mass index of 31, non-smoker.
She continued treatment with simvastatin 20 mg, bisoprolol 2.5 mg, enalapril 20 mg, acetylsalicylic acid (ASA) 100 mg, alprazolam 0.5 mg and atypical chest electrocardiography with numerous family medical emergencies.
About 3 years ago he was evaluated by cardiology, presenting an echocardiography without abnormalities, with positive exercise test at high load and coronary computed tomography reported as non-obstructive coronary atherosclerosis.
After numerous episodes, he finally entered for a second study of possible angina.
Catheterization was performed, visualizing a severe monovessel disease (specifically the right middle circumflex artery), requiring percutaneous transcatheter coronary angioplasty and drug-eluting stent implantation.
In current treatment with nitroglycerin sl if chest pain, ramipryl 2.5 mg, clopidogrel 75 mg, ASA 100 mg, simvastatin 40 mg, bisoprolol 2.5 mg, ranitidine 150 mg, ket
Later, in the evaluation of consultation of chronic nurses, a diagonal cleft in the ear lobe is observed casually, which runs from the anterior portion and close to the 45o ear segment Frank posterior aspect.
This finding made us think that there may be an interrelationship between this groove and diagnosed heart disease.
