Case 24-1975

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Abstract
Presentation of CaseA 53-year-old man was admitted to the hospital because of chest pain.He was well until four weeks earlier, when he began to experience bouts of substernal pressure that usually followed exertion and subsided in two or three minutes. On the morning of admission severe chest pain developed, accompanied by dyspnea, sweating and abdominal "tightness."An appendectomy had been performed at the age of 15 years, and at 22 years he was operated on for intussusception. Postoperative phlebitis in the left leg was complicated by chronic ulceration. There was no history of hypertension or heart disease. The . . .