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Previous Volume 336:1435-1438 May 15, 1997 Number 20 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 65-year-old man had persistent weakness and limitation of activity three months after coronary-artery bypass surgery. He had been well until two weeks before surgery, when he was admitted to the hospital with generalized weakness and diaphoresis but without chest pain. A diagnosis of acute inferior-wall myocardial infarction was based on electrocardiographic changes and an elevated creatine kinase concentration. A transthoracic echocardiogram at that time showed severe inferior and lateral hypokinesia with mild-to-moderate mitral regurgitation. Cardiac catheterization revealed three-vessel coronary artery disease, a left ventricular ejection fraction of 47 percent, and mild-to-moderate mitral regurgitation. He underwent double bypass surgery without . . . [Full Text of this Article]

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From the Cardiology Department, Hadassah University Hospital, P.O. Box 12000, Ein Kerem, Jerusalem, Israel 91120, where reprint requests should be addressed to Dr. Rozenman.

References

Related Letters:

Clinical Problem-Solving — Where Did Good Old Clinical Diagnosis Go?
Greeno E. W., Glaser R. J., Papagiannis A., Lucey C. R., Kopp V. J., Rozenman Y., Gilon D., Fuchs S.
Extract | Full Text  
N Engl J Med 1997; 337:940-942, Sep 25, 1997. Correspondence

This article has been cited by other articles:

• Greeno, E. W., Glaser, R. J., Papagiannis, A., Lucey, C. R., Kopp, V. J., Rozenman, Y., Gilon, D., Fuchs, S. (1997). Clinical Problem-Solving -- Where Did Good Old Clinical Diagnosis Go?. NEJM 337: 940-942 [Full Text]