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A 53-year-old man was admitted to the hospital because of a myocardial infarction.
The patient had been well until three months earlier, when he began to have increasingly severe exertional dyspnea, without chest pain. On the day of admission, he had been at work, lifting and transporting heavy objects, when a sensation of "heaviness" developed across his chest, accompanied by dyspnea. In an ambulance en route to this hospital, ventricular fibrillation was discovered, and a single shock resulted in reversion to a normal rhythm. An electrocardiogram obtained at the time of his arrival at this hospital showed elevated ST segments
Differential Diagnosis
Differential Diagnosis of Thrombocytopenia
Differential Diagnosis of Diffuse Arterial Thrombi
Heparin-Induced Thrombocytopenia
Treatment of Heparin-Induced Thrombocytopenia
Clinical Diagnosis
Dr. William C. Aird's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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