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Clinical Problem-Solving
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Volume 336:1008-1011 April 3, 1997 Number 14
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A Common Clinical Conundrum
William A. Gray, M.D., Robert J. DuBroff, M.D., and Harvey J. White, M.D.

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A 60-year-old man came to the hospital because of intermittent wheezing, progressive dyspnea on exertion, and severe orthopnea, which had been present for several weeks. The patient had also had occasional vague chest pressure that was not clearly brought on by exertion. In the emergency room, the patient was short of breath while breathing room air; his oxygen saturation was 84 percent. On physical examination his blood pressure was 192/78 mm Hg. He had bibasilar rales, a gallop rhythm, and a right carotid bruit. The electrocardiogram showed no abnormalities, and the chest film demonstrated a normal heart size with mild . . . [Full Text of this Article]

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From Southwest Cardiology Associates, Presbyterian Hospital, Albuquerque, N.M.

Address reprint requests to Dr. Gray at Southwest Cardiology Associates, 1101 Medical Arts Ave. N.E., Bldg. 5, Albuquerque, NM 87102.

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Stenting for Carotid Stenosis?
Mittl R. L., Estes J. M., Donaldson M. C., Whittemore A. D., Gray W. A., DuBroff R. J., White H. J.
Extract | Full Text  
N Engl J Med 1997; 337:427-428, Aug 7, 1997. Correspondence

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