A 65-year-old woman was referred to a cardiologist for the evaluationof progressive chest pain. Placement of an aortobifemoral conduithad been performed 14 years earlier for occlusive aortoiliacdisease. She had smoked two packs of cigarettes a day for over40 years. Her history of chest pain was typical of crescendoangina pectoris on exertion, without symptoms that were prolongedor that occurred at rest. Two years earlier, she had had a transientischemic attack consisting of facial droop and aphasia. Shehad bilateral carotid bruits, which were greater on the leftside than on the right, and a . . . [Full Text of this Article]
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From the Swedish Heart Institute, Seattle (W.A.G.); and Presbyterian Hospital, Albuquerque, N.M. (D.M.B., J.W.B.).
Address reprint requests to Dr. Gray at the Swedish Heart Institute, 1221 Madison St., Suite 1020, Seattle, WA 98104, or at williamg@swedishheart.org.
References
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Takach, T. J., Reul, G. J., Cooley, D. A., Duncan, J. M., Livesay, J. J., Ott, D. A., Gregoric, I. D.
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