To the Editor: A 74-year-old man presented with progressiveand severe dyspnea of two months' duration. The patient hadParkinson's disease that had initially been treated with levodopa,to which cabergoline had been added during the preceding fourmonths. The physical examination was notable for increased jugularvenous pressure, bilateral rales, and edema in both legs. Onauscultation, a gallop rhythm and a 2/6 pansystolic murmur radiatingto the axilla were noted. A chest radiograph showed mild cardiomegalyand signs of acute pulmonary edema. Electrocardiography demonstratedsinus rhythm at 80 beats per minute with left atrial enlargement.Transthoracic echocardiography revealed . . . [Full Text of this Article]
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