Case 50-1968

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Abstract
Presentation of Case First admission. A seventy-two-year-old semi-retired, self-employed man was admitted to the hospital because of progressive dyspnea.He had been well until ten years previously, when he began to experience dyspnea after walking two blocks. There had been no pain in the chest or syncope. Examination at that time disclosed third-degree heart block. During the seven years before admission, because of intermittent symptoms of congestive heart failure, he was maintained on a low-salt diet and diuretics. Six weeks before entry there was the onset of progressive dyspnea, and four weeks later he was forced to discontinue working. . . .
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