Case 2-1964

Abstract

Presentation of CaseA seventy-six-year-old man entered the hospital because of pain in the chest.The patient had been well until one year previously, when he began to experience exertional dyspnea and a dull pain in the anterior portion of the chest, which was provoked by exercise and relieved promptly by rest. Two days before admission the chest pain became persistent, accompanied by mild sweating but without nausea. On the day of entry the pain radiated down the right arm for a short time. There was no history of edema, hypertension, diabetes or weight loss.Physical examination revealed a ruddy-faced . . .