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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 337:1449-1458 November 13, 1997 Number 20
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Case 35-1997— A 65-Year-Old Woman with a Dry Cough and Pulmonary Nodules
L. Jack Faling, and Eugene J. Mark

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Presentation of Case

A 65-year-old woman was admitted to the hospital because of a persistent dry cough, diarrhea, and paroxysmal atrial fibrillation with orthostatic hypotension.

The patient had had hypertension for 40 years and diabetes mellitus for 6 months. Six years before admission, she was treated for ulcerative proctitis. Thirty-nine months before admission, she had an anterior myocardial infarct, with cardiac arrest and ventricular fibrillation. Amiodarone was administered. Percutaneous transluminal angioplasty of the left anterior descending coronary artery was performed 13 months later. An episode of paroxysmal atrial fibrillation failed to respond to other maneuvers but was treated successfully with amiodarone (200 mg . . . [Full Text of this Article]

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