Case 44212

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Abstract
Presentation of CaseA sixty-nine-year-old paperhanger was admitted to the hospital because of dyspnea.Fourteen months previously there was an episode of "tightness" in the chest that was associated with shortness of breath. His physician told him that he had a heart attack and started him on digitalis, which the patient took regularly until one week before admission. During the year before entry there were intermittent episodes of swelling of the ankles and dyspnea on exertion. Two days before admission he again noticed a "tightness" in the anterior portion of the chest that lasted for two or three hours and . . .

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