Case 39181

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Abstract
Presentation of CaseA forty-eight-year-old housewife was admitted to the hospital because of "pounding of the heart."The patient had experienced this sensation ever since an automobile accident nine months before admission, when she was thrown to the street on her right side, hit her head and was unconscious for five or ten minutes. She was treated at another hospital for multiple contusions and abrasions and possible mild brain concussion and discharged after four days. After returning home she experienced marked exertional dyspnea and could climb only half a flight of stairs. A hacking cough appeared, productive of small amounts . . .

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