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Previous Volume 348:1574-1585 April 17, 2003 Number 16 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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Presentation of Case

An 82-year-old man was admitted to the hospital because of dyspnea and peripheral edema.

The patient had a long history of hypertension, diabetes mellitus, and depression with mild dementia. He had smoked heavily until 30 years before admission and had chronic obstructive pulmonary disease. Fifteen months before the current admission, he was admitted to another hospital because of substernal pain, dyspnea, and sustained ventricular tachycardia. The rhythm did not respond to the administration of adenosine, metoprolol, diltiazem, or lidocaine, but electrical cardioversion restored a normal rhythm. The results of laboratory tests are shown in Table 1.

View this table: [in this window] [in a new window]   Table 1. Blood Chemical Values.

 
First Admission

. . . [Full Text of this Article]

Second Admission

Third Admission

Differential Diagnosis

Causes of Interstitial Pulmonary Infiltrates in Association with Cardiac Disease

            Cardiogenic

            Noncardiogenic

Idiopathic Interstitial Pneumonias

Amiodarone-Induced Toxic Effects

            Toxic Effects

            Diagnostic Tests

Clinical Diagnosis

Dr. Atul Malhotra's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

Source Information

From the Pulmonary and Critical Care Unit, Brigham and Women's Hospital and Massachusetts General Hospital, and the Department of Medicine, Harvard Medical School (A.M.); and the Departments of Radiology (V.V.M.) and Pathology (E.J.M.), Massachusetts General Hospital and Harvard Medical School — all in Boston.

This article has been cited by other articles:

• Malhotra, A. (2009). Obstructive Sleep Apnea and Central Sleep Apnea: Epidemiology, Pathophysiology, and Risk Factors. ACCP Sleep Med Brd Rev 4: 193-200 [Full Text]  
• Malhotra, A. (2009). Central Sleep Apnea: Diagnosis and Treatment. ACCP Sleep Med Brd Rev 4: 211-216 [Full Text]