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Correspondence
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Volume 334:1474-1476 May 30, 1996 Number 22
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Clinical Problem-Solving: A Broken Heart

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 by Zahger, D.
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To the Editor: In their excellent commentary in the Clinical Problem-Solving article "A Broken Heart" (Feb. 1 issue),1 Drs. Zahger and Milgalter describe the difficulties in diagnosing subacute ventricular-wall rupture after myocardial infarction. Occasionally, color-flow mapping can be used to identify the rupture site noninvasively; we describe one such case.

A 67-year-old man was brought to the emergency department after collapsing in his bathroom. On regaining consciousness after 10 minutes, he reported severe chest pain. On arrival he had tachycardia and hypotension with clear lung fields and no jugular venous distention. He had a history of type II diabetes and . . . [Full Text of this Article]

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