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Previous Volume 332:321-325 February 2, 1995 Number 5 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 72-year-old man came to the emergency room with recurrent shortness of breath and dizziness.

The combination of shortness of breath and dizziness makes me think about a cardiac event, and the shortness of breath raises the possibility of heart failure. The dizziness suggests that the patient's cardiac output might be low. A disturbance of rhythm — either atrial or ventricular tachyarrhythmia — would be the first possibility I would be concerned about.

The patient had a history of hypertension, non-insulin-dependent diabetes mellitus, and chest pain on exertion that was responsive to nitroglycerin and that occurred three to four times . . . [Full Text of this Article]

Commentary

References

Related Letters:

Clinical Problem-Solving: Multiple Pulmonary Emboli
Mendelowitz P. C., Flachsbart F., Thibault G. E.
Extract | Full Text  
N Engl J Med 1995; 332:1792, Jun 29, 1995. Correspondence

This article has been cited by other articles:

• Mendelowitz, P. C., Flachsbart, F., Thibault, G. E. (1995). Clinical Problem-Solving: Multiple Pulmonary Emboli. NEJM 332: 1792-1792 [Full Text]  
• Kassirer, J. P. (1995). Teaching Problem-Solving -- How Are We Doing?. NEJM 332: 1507-1509 [Full Text]