Latest news with #chestpain
Medscape
6 days ago
- Health
- Medscape
A Puzzling Pneumothorax in a 36-Year-Old Woman
A 36-year-old woman with no significant medical history presented with recurrent spontaneous pneumothorax accompanied by acute chest pain and shortness of breath, an unusual occurrence, particularly in non-smokers without underlying lung disease. The case was reported by Farman H. Fatah, MD, and colleagues from the University of Sulaymaniyah, Sulaymaniyah, Iraq. The Patient and Her History The patient presented to the emergency department with acute left-sided chest pain and shortness of breath. She had a history of asthma and right-sided spontaneous pneumothorax 7 years earlier, which was treated with video-assisted thoracoscopic surgery (VATS) and pleurodesis. Her family history was notable for asthma on her mother's side and colonic cancer on her father's side. She denied any history of smoking or environmental exposures. On physical examination, breath sounds were markedly decreased over the left hemithorax. A chest x-ray was performed, revealing a left-sided apical pneumothorax characterised by a region of radiolucency with absent lung markings, indicating air accumulation in the pleural space. A pigtail catheter was inserted to relieve the pneumothorax. Despite appropriate pigtail placement and conservative management, the pneumothorax persisted. The patient was referred for surgical evaluation and underwent VATS with pleurodesis and wedge resection. Intraoperatively, a ruptured subpleural bleb in the left upper lobe was identified and excised. Histopathology of the resected tissue was non-specific and showed no malignancy. A chest CT was performed to investigate the underlying cause. Imaging revealed the site of the bleb rupture and multiple thin-walled cysts scattered throughout the lung parenchyma. Given the history of recurrent spontaneous pneumothorax, presence of bilateral pulmonary cysts, and family history of cancer, Birt-Hogg-Dubé syndrome (BHDS) was suspected. Findings and Diagnosis Genetic testing for mutations in the FLCN gene confirmed the diagnosis. The test included sequencing and deletion/duplication analyses of FLCN . A pathogenic mutation in FLCN , confirmed by molecular testing, established a diagnosis of BHDS. BDHS is a rare autosomal dominant disorder caused by mutations in the FLCN gene and is characterised by a clinical triad of pulmonary cysts with spontaneous pneumothorax, cutaneous fibrofolliculomas, and renal tumours. Although the estimated prevalence of BHDS is approximately two cases per million, its actual incidence is believed to be higher due to frequent underdiagnosis and highly variable clinical presentations, even among members of the same family. BHDS is often suspected in patients presenting with cystic lung lesions, a family history of related manifestations, recurrent pneumothorax, and characteristic dermatologic findings. A definitive diagnosis is established through genetic testing to confirm pathogenic variants in the FLCN gene. The patient had no known renal or dermatologic manifestations at the time of diagnosis of the disease. She continued to experience mild postoperative dyspnoea and chest discomfort but resumed her daily activities and returned to work. She was scheduled for routine follow-up, including pulmonary function testing and renal surveillance imaging, according to the BHDS management guidelines. Discussion Pulmonary manifestations are often the earliest and most prominent clinical features of BHDS, frequently preceding skin and renal findings. The syndrome is characterised by multiple bilateral pulmonary cysts that tend to be irregular, thin-walled, and predominantly located in the basal and subpleural regions of the lungs. These cysts predispose affected individuals to spontaneous pneumothorax, which can be the first and sometimes the only presenting symptom. One of the key challenges in diagnosing BHDS is its variable presentations. While the classical triad includes skin fibrofolliculomas, renal tumours, and pulmonary cysts, some individuals, like our patient, may present solely with pulmonary involvement. This phenotypic variability can lead to delayed or missed diagnoses, particularly when cutaneous or renal signs are absent or subtle. Approximately 41% of pulmonary cysts present with spontaneous pneumothorax, with a recurrence rate of 41%. The majority of patients (> 90%) develop multiple fibrofolliculomas, especially on the face and upper trunk, in the second or third decade of life, with dermatologic findings serving as the first clinical clue in 25%-50% of cases. Renal tumours are observed in nearly 30% of patients, at a mean age of 50 years. Although the estimated prevalence of BHDS is approximately two cases per million, its actual incidence is believed to be higher due to frequent underdiagnosis and highly variable clinical presentations, even among members of the same family. This highlights the importance of considering BHDS in the differential diagnosis of spontaneous pneumothorax, particularly when it is recurrent or associated with atypical cystic lung disease. Genetic confirmation through FLCN mutation testing is crucial not only to establish a definitive diagnosis but also to initiate appropriate long-term surveillance for potentially life-threatening renal malignancies. Surgical intervention, such as VATS pleurodesis, may be necessary when conservative approaches fail. This case underscores the importance of considering BHDS in patients presenting with recurrent spontaneous pneumothorax, particularly when bilateral pulmonary cysts are evident and no other clear aetiology is identified.
CBC
21-07-2025
- Health
- CBC
Moncton man shaken after having heart attack during 13-hour wait in ER
Despite vomiting, sweating, chest pain and a family history of heart disease, Jonah Imeson waited in the ER from 3 p.m. until 4 a.m. the following day.
Medscape
07-07-2025
- Health
- Medscape
Sudden Intense Chest Pain Unlike Prior Pneumothorax
Editor's Note: The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians, but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please email us at ccsuggestions@ with the subject line "Case Challenge Suggestion." We look forward to hearing from you. Background and Initial Presentation A 35-year-old man with a history of two prior spontaneous pneumothoraxes — both managed conservatively — presents to the emergency department with new-onset chest pain and lightheadedness. The pain is described as sudden, intense, and exacerbated by deep breathing. He indicates that it is located in the center of the chest. He denies dyspnea or leg swelling and has no other complaints. When asked, he says this pain is different from his pneumothorax pain, mainly because it is in the center of his chest. Physical Examination and Workup Vital signs are within normal limits, except for a pulse > 120 bpm. Physical examination reveals diminished breath sounds on the left hemithorax. There are no rales or wheezes and no leg edema. Discussion Central pleuritic chest pain in a patient with a history of pneumothorax suggests a pulmonary etiology. A chest x-ray is the most appropriate investigation to promptly assess for recurrent pneumothorax, pleural effusion, structural abnormalities, or other intrathoracic pathology. ECG or cardiac biomarkers such as troponins are indicated primarily if myocardial ischemia or infarction is suspected. This suspicion would be raised if the patient described his chest pain as squeezing or pressure-like sensation radiating to the neck, jaw, or left arm. The patient's young age and lack of history of coronary artery disease also make acute coronary syndrome less likely. A CBC may provide supplementary information about signs of infection or inflammation, especially if the chest x-ray appears normal, but a CBC alone is unlikely to determine the cause of the patient's acute pleuritic chest pain. On initial testing, chest x-ray, metabolic panel, and troponin level were normal. CBC showed an elevated white blood cell count (16,200/μL). An ECG was also performed (Figure 1). Figure 1. ECG performed on patient in ED. Despite the central location of symptoms, the patient's young age, history of pneumothorax, and presence of pleuritic chest pain would have placed pneumothorax high on the initial differential diagnosis. After pneumothorax was ruled out with chest x-ray, PE should have become the leading consideration given the pleuritic pain and the patient's age group, in which PE is far more common than coronary artery disease. Although anxiety is also common in this age group — as it is in others — it should remain a diagnosis of exclusion, considered only after more serious conditions have been reasonably ruled out. While the ECG is not diagnostic of PE, it raises suspicion by demonstrating three supportive findings: tachycardia, incomplete right bundle branch block, and nonspecific ST-segment changes.[1] A subsequent D-dimer test was positive, and chest CT angiography showed extensive bilateral pulmonary emboli, more pronounced on the left side. PE typically presents as either unilateral pleuritic chest pain or as dyspnea with or without chest pain.[1] However, PE can present without the typical symptom of chest pain, sometimes being asymptomatic or discovered incidentally during diagnostic workup for other conditions.[1,2,3] Other symptoms of large pulmonary emboli may include syncope, diaphoresis, and cardiac arrest. Other symptoms of smaller emboli may include minor hemoptysis or cough.[1,3] Although most patients with PE have at least one identifiable risk factor, up to 20% of patients present without any known risk factor, so the absence of risk factors should not exclude the diagnosis.[1] Pain in patients with PE is believed to result from pulmonary infarction, which typically occurs when small to medium emboli lodge distally in the peripheral pulmonary arteries — areas with limited collateral circulation — making them more susceptible to infarction. The absence of chest pain does not exclude PE and may contribute to missed diagnoses, increasing the risk of patient morbidity and mortality. PE classically presents with pleuritic chest pain and dyspnea associated with known risk factors, tachycardia, and clear lungs both on auscultation and chest radiography. However, most patients with PE present with one or more atypical features, which may include the absence of pain or any known risk factors and/or normal or nonspecific ECG findings.[1] About 40% of patients with PE have tachycardia.[1] Scoring systems such as the PE Rule-out Criteria (PERC) can be useful in evaluating patients with suspected PE, but clinicians must be familiar with both the inclusion and exclusion criteria and should recognize that applying PERC requires a low pretest probability based on clinical judgment and the presence of a more likely alternate diagnosis with adequate supporting evidence. When PE cannot be excluded based on clinical assessment, diagnostic testing is warranted, typically beginning with a D-dimer assay. If the D-dimer is positive, imaging with CT pulmonary angiography or a or ventilation-perfusion scan should follow.[2,3] D-dimer should not be ordered reflexively or 'just in case,' as this often leads to unnecessary imaging. As Greg Henry advises, 'In medicine and life, don't ask questions you don't really want to know the answer to.' PE is typically treated with anticoagulants unless they are absolutely contraindicated, in which case a vena cava interruption filter may be used.[2,3,4] The treatment setting and choice of anticoagulant depend on various factors, including PE severity, comorbidities, and bleeding risk.[3] Most patients are admitted for treatment initiation, but some low-risk patients may be discharged with oral anticoagulants.[2] Patients with hypotension or right ventricular strain often require ICU admission for close monitoring and may be treated with thrombolytic therapy or, in some cases, surgical intervention.[1,2,3] The absolute contraindication to thrombolytic therapy is a history of intracranial hemorrhage, due to a significantly increased risk of catastrophic bleeding.[1,2,4] Thrombolytic agents can dissolve blood clots, but they also impair hemostasis. A history of pneumothorax episodes is not considered an absolute contraindication to thrombolytics in this patient.[1] Anemia is an important clinical factor that significantly increases the risk of bleeding during anticoagulation, but it does not preclude thrombolysis, if not caused by active bleeding or associated with a significant coagulopathy.[1,3,5] Hemodynamic instability is not a contraindication but rather an indication for thrombolytic therapy in patients with massive PE. The benefits of restoring circulation outweigh the bleeding risk associated with thrombolysis.[1,2,4] Hospital admission on intravenous heparin is reasonable. The patient could deteriorate if additional thrombi embolize. ICU admission is typically reserved for patients who remain unstable or require intravenous fibrinolytics. Discharge may be appropriate for stable patients who meet discharge criteria. For patients who are stable but do not qualify for discharge and have a low risk of decompensation, admission to a general medical floor may be considered. Because this patient's CT angiography showed extensive PE and his vital signs were concerning, thrombolytics were considered. However, after heparin was initiated, his vital signs normalized within a few hours, so he was able to be admitted to a telemetry bed. Although most patients with PE meet criteria for outpatient treatment,[3,4] a minority of eligible patients are actually discharged from the emergency department despite having an estimated mortality risk of less than 3%.[1,2] Risk stratification tools such as the Pulmonary Embolism Severity Index and the Hestia criteria can help identify candidates for outpatient treatment. Clinicians should also consider using an online calculator (eg, In addition to PE severity, clinicians should evaluate the patient's bleeding risk on anticoagulation when making disposition decisions.[1,2,3,4]
The Sun
02-07-2025
- Health
- The Sun
From sweating to fatigue and swollen ankles – the 11 surprising signs your heart is in danger and when to call 999
WE'RE all aware that chest pain is a common sign that something's wrong with our heart. But it's far from the only signal, and in many cases, the earliest alarm bells are more subtle symptoms that you might just put down to the warm weather - or miss altogether. 5 Heart and circulatory diseases cause around a quarter of all deaths in the UK - that's more than 170,000 lives claimed each year. And spotting symptoms can be crucial for early intervention and preventing life-threatening consequences. It's important to know that not all chest pain is heart-related, and not all heart problems present with chest pain. Many of the tell-tale signs might surprise you, as they're often associated with less serious health conditions. Niamh McMillan, Superdrug 's pharmacy superintendent, told Sun Health: 'When most people think of heart problems, they picture chest pain or sudden collapse. "But the early signs of poor heart health can be surprisingly subtle, such as fatigue, breathlessness, or swollen ankles and therefore can be easy to miss.' Our experts reveal the more surprising symptoms of poor heart health so you can take action sooner rather than later. 1. Stomach pain STOMACH pain is often dismissed as indigestion or a minor digestive issue. But it can sometimes be a sign of poor heart health. A heart attack can cause chest pain that radiates to other areas of the body, including the stomach, causing a feeling of heaviness, tightness, or pain in the upper abdomen. It can also present as nausea, indigestion, or heartburn. In cases of heart failure, abdominal pain and swelling can occur due to fluid retention and congestion in the liver and gut. This can manifest as nausea, loss of appetite, and swelling in the ankles, feet, or abdomen. Niamh says: "If stomach pain is persistent, occurs with exertion, or is accompanied by breathlessness, fatigue, or sweating, it's important to seek medical advice to rule out more serious concerns." 2. Feeling sweaty 5 IT'S the time of year when hotter weather brings on buckets of sweat. While sweating is a natural response by the body to regulate its temperature, excessive or unexplained sweating, especially when it hasn't been caused by heat or physical activity, can be an early warning sign of heart problems. During a heart attack, the body may activate a 'fight or flight' response, leading to excessive sweating. Reduced blood flow to the heart muscle, often due to a blockage in the coronary arteries, can also cause the body to sweat more to try and regulate temperature. In some cases, excessive sweating can be a symptom of heart failure, endocarditis (inflammation of the heart's inner lining) and certain congenital heart defects. Niamh said: "Seek urgent medical attention if you start to feel hot and clammy, along with chest pains.' 3. Swollen ankles SWOLLEN ankles or feet are another common occurrence during hot weather. It happens because your body naturally dilates blood vessels to cool down, causing fluid to move from the vessels into surrounding tissues. Gravity then pulls this fluid down to the lower extremities, leading to swelling in the feet and ankles. Swelling can also result from standing for long periods of time and be a side effect of medications, said Dr Susanna Hayter, Digital Clinician at Medichecks. But it can also be a subtle but important sign of poor heart health. When the heart isn't pumping as efficiently as it should, it can cause the blood to back up in other areas of the body and can cause fluid to build up, a condition known as oedema. Persistent or unexplained swelling, especially when combined with breathlessness or fatigue, may indicate heart failure or circulation problems, said Dr John Abroon. Niamh added: "If swelling is ongoing or worsens over time, it's important to seek medical advice.' A simple blood test (called a BNP test) can be performed by your GP and can be helpful in determining whether such swelling is something of concern. 4. Leg and arm pain LEG and arm pain can be normal if it's mild and temporary. It often results from overuse, minor injuries, and even growing pains. But leg pain or cramping in your calves can also be a sign of peripheral artery disease (PAD) - a condition caused by narrowed or blocked blood vessels in the legs. Niamh explained: "This type of pain, known as claudication or intermittent claudication, is your body's way of signalling reduced blood flow to the muscles. "Having PAD can put you at risk of coronary heart disease or stroke. "If you experience persistent leg pain or cramping during activity, it's important to speak with a healthcare professional for further assessment. 'Arm pain can be a key warning sign of a heart attack and can feel as though pain is spreading from your chest to your arms. "This feeling can also be accompanied by other symptoms such as chest pain or shortness of breath. "If you experience unexplained arm pain along with these signs, it's important to seek medical help immediately.' Dr Abroon, who has more than 25 years of experience practising medicine in New York City, warned arm or jaw pain with fatigue or sweating may be a sign of a heart attack. 5. Persistent cough or wheezing WHILST a chronic cough is often secondary to a benign, passing viral infection, and can even be triggered by hay fever at this time of year, heart disease can also cause this symptom. Dr Christopher Boyd, consultant cardiologist at Nuffield Health Brighton Hospital, advised that in the case of heart issues, it's often worse at night or when lying flat and, when the heart condition is more extreme, can be associated with pink sputum production. He says: "This type of cough results from fluid backing up into the lungs. "If you have a persistent cough that worsens when lying down or at night, it's worth discussing this with a doctor." Besides heart failure, a persistent cough can be caused by respiratory conditions like COPD or asthma, or even as a side effect of certain heart medications. 6. Jaw or neck pain JAW ache is relatively common, often brought on by teeth grinding, sinus problems or dental issues. But a dull ache that radiates from the chest into the jaw can be a red flag, because the same nerves that serve the heart also serve the lower face, so pain can be projected there when myocardial tissue is starved of oxygen, said Dr Naheed Ali, a physician and senior contributor at Vera Clinic. He said: "Jaw or arm radiation together with chest pressure often accompanies unstable angina or an evolving infarction, situations in which a coronary artery is partially or completely blocked and heart tissue is becoming ischemic [a less than normal amount of blood flow to a part of the body]." Recently, Dr Boyd said he treated a woman who was having a heart attack but had thought it was toothache. He said: "This is quite understandable and, of course, in the majority of cases, the patient's initial instinct is right. "But in some cases, jaw or neck pain can be referred pain from the heart. "This is particularly true for women or older patients, whose heart attack symptoms can present atypically." If you feel discomfort in your jaw, neck, or throat that is out of the ordinary - particularly if it's accompanied by nausea or sweating - seek medical attention, he adds. 7. Fatigue WE all feel tired from time to time. One of the most common reasons to consult a GP is fatigue and difficulties sleeping, said Dr Boyd. Usually, this is caused by factors such as stress or poor sleep hygiene. Hot weather is another common cause, with the body working harder to regulate its temperature, which can lead to tiredness and sluggishness. But persistent fatigue, especially when it's not explained by lack of sleep or overexertion can potentially be an early warning sign of poor heart health. Niamh explained: "When the heart isn't pumping efficiently, less oxygen-rich blood reaches the muscles and tissues, leading to feelings of constant tiredness or weakness. "This can be particularly noticeable during everyday activities that previously felt easy, such as climbing stairs or walking short distances. "If you find yourself unusually drained or struggling with low energy on a regular basis, it may be time to consider a heart health check. " PocDoc, £19.99 available from Superdrug pharmacies, is an easy to use, at home heart health test, which helps you to understand your heart age, risk of cardiovascular disease and key risk factors all through a finger prick of blood.' 8. Sudden dizziness or light-headedness FEELING faint or dizzy can happen for a variety of reasons, but when it occurs suddenly and without a clear cause, it may be warning that your heart isn't pumping enough blood to the brain. The most common reason for this is a transient reduction in blood pressure, called vasovagal syncope, explained Dr Boyd. This can often be provoked by standing for long periods - particularly in hot weather. He said: "The London Underground in the summer is often a frequent contributor to this issue, as many commuters can attest! "Adequate hydration and minimising provoking situations is essential for people prone to this. "However, arrhythmias, heart valve problems, or blockages in blood vessels could also be to blame, and if you suffer with frequent or worrying fainting or dizzy spells, you should discuss this with a medical professional." 9. Erectile dysfunction MANY people are surprised to learn that erectile dysfunction (ED) can be an early warning sign of heart disease. The same processes that cause arteries in the heart to narrow can affect blood flow elsewhere, resulting in this condition. Dr Boyd explained: "In fact, ED can precede a diagnosis of coronary artery disease by several years. "If this is something you have encountered, it is worth speaking with a medical professional to minimise your cardiovascular risk factors and help reduce the risk of future heart problems." Adopting a healthy lifestyle, including a heart-healthy diet, regular exercise, and avoiding smoking, has been shown to improve both your heart health and sexual function. 10. Shortness of breath EVERYONE gets breathless at some point in their daily routines, and this is obviously normal in most settings. Furthermore, as we get older or if we let our fitness levels decline, we will become breathless doing lesser things, and this doesn't necessarily reflect abnormal heart health. However, if you're finding yourself breathless doing things you used to manage easily — like walking the dog or carrying groceries — you may be experiencing an early sign of heart failure or valve disease. Dr Boyd advised: "Some people experience angina not as chest pain or tightness, but as breathlessness, and this is likely to be more noticeable in cold weather. "If these features are true for you, it is worth consulting your GP for an assessment." 11. Palpitations & high blood pressure HEART palpitations are generally considered normal and isn't usually a sign of anything serious. It's the sensation of feeling your heart beat, which can feel like a fluttering, pounding, or racing sensation. Dr Hayter said they can be caused by anxiety, too much caffeine, or dehydration. However, frequent or severe palpitations may indicate underlying heart conditions. Niamh warned: "Palpitations can be a sign of an abnormal heart rhythm, known as arrhythmias, which can be caused by an underlying condition. "One of the most common arrhythmias is atrial fibrillation, which can increase your risk of a stroke. "It's important to pay attention to these sensations, especially if they're accompanied by dizziness, chest pain, or shortness of breath, and to seek medical advice to ensure heart health is properly managed." Also, hypertension or high blood pressure is one of the most important risk factors for cardiovascular disease. But many people are unaware they have the condition because it usually has no noticeable symptoms - giving it the name the 'silent killer'. If your blood pressure is too high, it can damage your arteries, leading to various complications, such as heart attack, stroke, kidney disease, and even vision loss, said Niamh. She added: "Superdrug offers free blood pressure checks in its nationwide high street health clinics. Customers can get their blood pressure checked by a nurse, in order to help assess heart health.' Which symptoms are the most serious? THE most urgent symptoms to look out for include sudden chest, jaw, or arm pain, especially if it's severe, lasts for more than a few minutes, or is accompanied by sweating, nausea of shortness of breath, said Dr Hayter. Other symptoms you mustn't ignore are sudden onset of cold sweats, palpitations, dizziness, collapse, breathlessness (particularly if it comes on quickly or is worse when lying flat), or a rapid/irregular heartbeat (especially with chest discomfort or light-headedness). How to keep your heart healthy Diet Eat plenty of fruits, vegetables, and whole grains, and reduce your intake of saturated and trans fats, salt, and sugar. Consider a Mediterranean-style diet, which emphasises vegetables, fruits, whole grains, beans, legumes, and includes low-fat or fat-free dairy products, fish, poultry, certain vegetables, oils, and nuts. Physical activity Aim for at least 150 minutes of moderate-intensity aerobic exercise per week, or 75 minutes of vigorous-intensity activity. This can include activities like brisk walking, dancing, or gardening. Smoking If you smoke, quitting is one of the best things you can do for your heart. Alcohol If you drink alcohol, moderate your intake to recommended limits. Weight management Maintaining a healthy weight can significantly reduce your risk of heart disease. Stress management Stress can negatively impact your heart. Find healthy ways to manage stress, such as meditation, yoga, or spending time in nature. Regular checkups Schedule regular health checkups to monitor your blood pressure, cholesterol, and blood sugar levels. Medication If you have high cholesterol or other risk factors, your doctor may prescribe medication, such as statins, to help manage your condition. Know your numbers Be aware of your blood pressure, cholesterol, and blood sugar levels, and work with your doctor to manage them effectively. "These might signal a heart attack, arrhythmia, or acute heart failure. In those cases, every minute counts and you should call 999 or visit A&E," she said. And hot weather can put extra strain on the heart, particularly in older adults or those with existing cardiovascular issues, Dr Abroon warned. He said: "Heat can cause dehydration, lower blood pressure and trigger irregular heart rhythms. "People with heart failure may notice more swelling or feel more breathless in high temperatures." If you're experiencing symptoms like palpitations, swollen ankles, unexplained fatigue or mild chest discomfort, it's worth seeing your GP. He added: They can assess whether the issue is likely to be heart-related and carry out checks such as an ECG, blood tests or a referral to a cardiologist if needed. "Early investigation can help catch potential problems before they become more serious."
Free Malaysia Today
02-06-2025
- Automotive
- Free Malaysia Today
Driver in Jalan Ampang head-on crash had chest pain, say cops
The victim had stopped at the traffic light junction when a blue Toyota Caldina headed in the opposite direction veered to her lane and crashed head-on into her vehicle. (Facebook pics) PETALING JAYA : The driver of a Toyota Caldina which entered the opposite lane before crashing head-on with a vehicle on Jalan Ampang, Kuala Lumpur, claimed he lost control of his car after experiencing some chest pain, say police. Kuala Lumpur traffic investigation and enforcement department chief Zamzuri Isa said the incident occurred around 11am on Saturday at a traffic light junction on Jalan Ampang in front of Gleneagles Hospital. The victim, 49, had stopped at the junction in her Jaecoo J7 when the blue Toyota, which was headed in the opposite direction, veered to her lane before crashing head-on into her vehicle. The impact caused the Jaecoo to back into a Lexus RX200T that was behind it at the junction. 'The accident was caused by the driver of the Toyota, a 57-year-old man, losing control of the vehicle. He claimed it was because he was having some chest pain. 'When met by investigating officers, he seemed to be in a stable condition,' Zamzuri said in a statement but gave no further details on the medical issue or treatment, if any, received by the man. He said the driver of the Jaecoo suffered minor injuries to her hand and legs, while the driver of the Lexus was not injured. The police were responding to a widely-shared Facebook post by a person who claimed to be the driver of the Jaecoo, with dashcam videos of the incident. The case is being investigated under Section 42(1) of the Road Transport Act 1987 for reckless driving.
