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Previous Volume 329:1406-1410 November 4, 1993 Number 19 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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A 53-year-old painter and construction worker presented to the emergency room with shortness of breath, chest pressure, palpitations, and nocturnal cough. The patient had a four-year history of hypertension and hypercholesterolemia and did not smoke.

Here is a man with risk factors for coronary disease who presents with shortness of breath and chest pressure. At the top of the differential diagnosis is coronary artery disease. Other cardiac disease, particularly aortic valve disease, could produce the same symptoms. Also, patients with pericarditis may occasionally describe pressure-like pain, and they may sense dyspnea because of the disinclination to take a deep breath. . . . [Full Text of this Article]

Commentary

Source Information

From the Veterans Affairs Medical Center, 1400 VFW Pky., West Roxbury, MA 02132, where reprint requests should be addressed to Dr. Thibault.

References

Related Letters:

Clinical Problem-Solving: Assessing Aortic Valvular Insufficiency
Prakash M.N., Burger A., Kamalesh M., Thibault G. E.
Extract | Full Text  
N Engl J Med 1994; 330:941-942, Mar 31, 1994. Correspondence

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