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Previous Volume 346:1878 June 13, 2002 Number 24 Next

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View larger version (81K): [in this window] [in a new window]   A 76-year-old man with sinus node disease who was evaluated after an episode of syncope received a single-chamber pacemaker through the left subclavian approach. A chest film (Panel A) and electrocardiogram (Panel B) were obtained six weeks later. What are the diagnosis and the correct approach to treatment?

 

J. Warren Harthorne, M.D.
Igor Palacios, M.D.
Massachusetts General Hospital
Boston, MA 02114

Editor's note: We invite our readers to offer their opinions by e-mail (mystery{at}nejm.org) or fax (617-739-9864). We will not be able to acknowledge the receipt of responses. We will publish the diagnosis in the Correspondence section of the August 1, 2002, issue. All replies must be received by June 27, 2002.

Related Letters:

Medical Mystery — The Answer
Harthorne J. W., Palacios I.
Extract | Full Text | PDF  
N Engl J Med 2002; 347:371, Aug 1, 2002. Correspondence

This article has been cited by other articles:

• Harthorne, J. W., Palacios, I. (2002). Medical Mystery -- The Answer. NEJM 347: 371-371 [Full Text]