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Previous Volume 352:2337 June 2, 2005 Number 22 Next

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View larger version (8K): [in this window] [in a new window]   At an office visit in June 2004, a 49-year-old man reported fatigue, arthralgia, and headache, along with a two-day history of chest pain. The patient had hypercholesterolemia, for which he was taking atorvastatin (20 mg daily) and aspirin (81 mg); he had stopped smoking cigarettes 20 years earlier. The patient reported that his father had died at the age of 71 years of myocardial infarction. Physical examination revealed a pulse of 38 beats per minute. Electrocardiography was performed. What is the diagnosis? Editor's note: We invite our readers to submit their answers at www.nejm.org/mystery. We will publish the diagnosis in the Correspondence section of the July 28, 2005, issue and e-mail it to everyone who submits an answer. All answers must be received by June 16, 2005.

 

Ralph Rosenberg, M.D.
University of Connecticut Health Center
Avon, CT 06001

Related Letters:

Medical Mystery: Bradycardia — The Answer
Rosenberg R.
Extract | Full Text | PDF  
N Engl J Med 2005; 353:430-432, Jul 28, 2005. Correspondence

This article has been cited by other articles:

• Rosenberg, R. (2005). Medical Mystery: Bradycardia -- The Answer. NEJM 353: 430-432 [Full Text]