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Previous Volume 347:1161 October 10, 2002 Number 15 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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View larger version (59K): [in this window] [in a new window]   A 52-year-old man with chronic left bundle-branch block presented with exertional syncope but no chest pain, palpitations, or dyspnea. His blood pressure was 95/60 mm Hg, and examination revealed signs of right ventricular failure and ascites. Transthoracic echocardiography revealed right ventricular dilatation and hypokinesis, with moderate tricuspid regurgitation and an estimated right ventricular systolic pressure of 55 mm Hg. Doppler studies of the legs showed bilateral proximal deep venous thrombosis, making the diagnosis of pulmonary embolism likely. Paracentesis and cytologic analysis of ascitic fluid revealed metastatic adenocarcinoma. Seven days after presentation, the patient had multiple episodes of arterial desaturation and . . . [Full Text of this Article]

 

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