Case 31-1992 A 68-Year-Old Man with Acute Mitral Regurgitation

Presentation of Case A 68-year-old man was transferred to this hospital because of an acute myocardial infarct with fever, pulmonary edema, and oliguria. The patient was in stable health until two weeks earlier, when he began to experience fatigue. One day before entry he played golf in the morning...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 327; no. 5; pp. 338 - 345
Main Authors Eagle, K.A, Fallon, J.T
Format Journal Article
LanguageEnglish
Published Boston Massachusetts Medical Society 30.07.1992
Subjects
Angina pectoris
Angioplasty
Aspirin
Cardiovascular disease
Case reports
Collaboration
Coronary vessels
Edema
Electrocardiography
Fever
Heart attacks
Ultrasonic imaging
Ventilators
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Summary:Presentation of Case A 68-year-old man was transferred to this hospital because of an acute myocardial infarct with fever, pulmonary edema, and oliguria. The patient was in stable health until two weeks earlier, when he began to experience fatigue. One day before entry he played golf in the morning and then went to work. Substernal pain soon developed and increased rapidly, with the onset of dyspnea and sweating. He drove himself to another hospital, where an electrocardiogram showed evidence of an acute inferoposterior myocardial infarct. Streptokinase (1.5 million units) was injected by vein, with a continuous intravenous infusion of heparin. . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJM199207303270507