|
|||
| |||||||||||||||||||||||||||||||||
A 48-year-old woman was admitted to the hospital because of a secundum atrial septal defect with severe pulmonary hypertension.
A murmur was first heard when the patient was 11 years of age. At 21 years she began to experience palpitations during exercise and had auscultatory findings characteristic of an atrial septal defect. Eight years later she was dyspneic when climbing three flights of stairs and had frequent respiratory tract infections. She was seen at this hospital, and the risk of a cardiac surgical procedure was considered unacceptable. At 39 years of age supraventricular tachycardia occurred and responded to verapamil; diltiazem
Differential Diagnosis
Clinical Diagnoses
Dr. Robert L. Geggel's Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
This article has been cited by other articles:
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved. |