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Previous Volume 331:601-605 September 1, 1994 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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A 37-year-old man came to the emergency room complaining of chest heaviness "similar to having somebody standing on his chest." The pain had begun while he was changing clothes in the locker room at work. It radiated to both arms and was associated with diaphoresis and shortness of breath. He rated the pain as 10 on a scale of 1 to 10. The episode lasted for 10 minutes.

A cardiac origin of this pain would be rather unusual in a young man unless he had been using cocaine. This does not sound like an anxiety reaction, but the patient could . . . [Full Text of this Article]

Commentary

Source Information

From the Divisions of Clinical Decision Making and General Internal Medicine, New England Medical Center, Tufts University School of Medicine, Boston.

Address reprint requests to Dr. Pauker at New England Medical Center, Box 302, 750 Washington St., Boston, MA 02111.

References

Related Letters:

Clinical Problem-Solving: Invasive Interventions
Kern M. J., Bach R. G., Kallfelz M. L. d. A., Degrazia R. C., Rashdan I., Tolchin D., Anía B. J., Cárdenes M. A., Pauker S. G., Kopelman R. I.
Extract | Full Text  
N Engl J Med 1995; 332:125-127, Jan 12, 1995. Correspondence

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