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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 342:1979-1987 June 29, 2000 Number 26
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Case 20-2000— A 61-Year-Old Man with a Wide-Complex Tachycardia
William G. Stevenson, and H. Thomas Aretz

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Presentation of Case

A 61-year-old man was admitted to the hospital because of a wide-complex tachycardia and dyspnea.

The patient had been well until one month earlier, when he was assaulted and sustained an orbital fracture, associated with blurred vision. Soon thereafter, in the hope of improving his vision, he began to take dietary supplements identified as bilberry, Ginkgo biloba, alpha lipoic acid, omega-3 fish oil, lecithin, and S-adenosylmethionine, in addition to vitamins E, C, and B complex. Two days before admission, nausea, vomiting, diarrhea, and midepigastric pain developed several hours after dinner. On the following morning, he awoke with a "racing" . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. William G. Stevenson's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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