Metastatic Argentaffinoma Secreting 5-Hydroxytryptamine in a Patient with a Patent Foramen Ovale

Abstract

ACUTE CARDIAC INFARCTION MEDICAioSuH 925 and was told that he had suddenly died, a course of events common enough in this disease. However, in the dead man's home I met a friend and colleague of his, whose story of the patient's last moments was as follows. Both policemen were out on duty when my patient had a sudden attack of severe pain in the chest. He was on the point of collapsing, but, supported by his friend, he just managed to remain standing, pale and bathed in sweat. Nitroglycerin did not alleviate the pain. When his friend proposed taking a taxi to the hospital, he refused, saying: "Since we have started on foot, we shall go on foot. There is no pain in the world strong enough to make me stop." He managed to walk the distance of about 400 m. to his home and even to mount four flights of stairs to his flat on the second floor, the lift being out of order. Then, having opened the front door, he fell down dead.