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Previous Volume 348:243-249 January 16, 2003 Number 3 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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Presentation of Case

A 60-year-old man was admitted to the hospital because of dyspnea and pulmonary vascular congestion.

The patient had reportedly been well until seven days earlier, when he began to have dyspnea during moderate exertion. Four days before admission, he felt a nonradiating, "heavy" discomfort in the lower retrosternal and epigastric areas when he stooped, bent over, or walked short distances. There was no orthopnea, sweating, nausea, or edema.

Two days before admission, he entered another hospital. The blood pressure was 150/70 mm Hg. The pulse was 80 to 90 beats per minute and irregular. Inspiratory crackles were heard at both . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Peter M. Yurchak's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Division of Cardiology (P.M.Y.) and the Department of Pathology (V.D.), Massachusetts General Hospital and the Departments of Medicine (P.M.Y.) and Pathology (V.D.), Harvard Medical School — both in Boston.

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