TITLE

60-Year-Old Man With Chest Pain

AUTHOR(S)
Gami, Apoor S.; Jaffe, Allan S.
PUB. DATE
March 2004
SOURCE
Mayo Clinic Proceedings;Mar2004, Vol. 79 Issue 3, p399
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A 60-year-old man was admitted to the coronary care unit with chest discomfort. Two weeks before admission, he experienced exertional dyspnea and orthopnea that required him to sleep upright in a chair. At that time, electrocardiography revealed new atrial fibrillation, and digoxin, furosemide, and warfarin were initiated. At 3 A.M. on the day of admission, while at rest the patient experienced acute onset of constant left parasternal pressure of moderate to severe intensity. It was nonradiating, unaffected by exertion, and unassociated with other symptoms. The patient's history included hyperlipidemia and a stroke.
ACCESSION #
12389762

 

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