Case 22-1969

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Abstract
Presentation of Case First admission. A seventy-six-year-old man was admitted to the hospital because of progressive fatigue and dyspnea.Several years previously a physician told him that he had hypertension and prescribed a low-sodium diet and medication. In recent years he had taken no medication. During the six months before admission he had ankle edema, with gradually progressive exertional dyspnea and orthopnea, and lost 31 pounds in weight. Four weeks before entry fatigue and severe dyspnea developed.There had been no pleuritic or anginal pain or episodes of palpitation. Many years previously he had been informed that he had an . . .
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