Case 39441

Abstract
Presentation of CaseA seventy-one-year-old man entered the hospital complaining of paroxysms of shortness of breath.At the age of twenty-four, the patient had "strained his heart" while rowing at college. However, he convalesced rapidly and easily passed a life-insuranceance examination within that year. Sixteen years later he was examined thoroughly because a life-insuranceance examiner thought that his heart needed attention, but he had no symptoms, the heart was of normal size, there were no murmurs, and the heart sounds were normal. An electrocardiogram was entirely normal, with a ventricular rate of 75. The blood pressure was 110 systolic, 70 . . .

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