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MYOCARDIAL INFARCTION WITH BUNDLE-BRANCH BLOCK COMPLICATED BY SEPTAL PERFORATION

MYOCARDIAL INFARCTION WITH BUNDLE-BRANCH BLOCK COMPLICATED BY SEPTAL PERFORATION A physically active man began, at the age of 69 years, to have a series of episodes of severe chest pain. At the age of 71 years an attack of intense and persistent substernal pain, unaffected by medication, caused him to enter a hospital. On the third day the return of pain was accompanied by a decline in blood pressure until neither blood pressure nor radial pulse could be obtained and dyspnea and anuria supervened. At autopsy, eight days after the onset of pain, and three and one-half days after the decline had led to the diagnosis of septal perforation, an irregularly shaped opening, measuring 1.5 cm. in diameter, was found in the interventricular septum, permitting communication between the right and left ventricles. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

MYOCARDIAL INFARCTION WITH BUNDLE-BRANCH BLOCK COMPLICATED BY SEPTAL PERFORATION

JAMA , Volume 173 (9) – Jul 2, 1960

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1960.03020270030008
Publisher site
See Article on Publisher Site

Abstract

A physically active man began, at the age of 69 years, to have a series of episodes of severe chest pain. At the age of 71 years an attack of intense and persistent substernal pain, unaffected by medication, caused him to enter a hospital. On the third day the return of pain was accompanied by a decline in blood pressure until neither blood pressure nor radial pulse could be obtained and dyspnea and anuria supervened. At autopsy, eight days after the onset of pain, and three and one-half days after the decline had led to the diagnosis of septal perforation, an irregularly shaped opening, measuring 1.5 cm. in diameter, was found in the interventricular septum, permitting communication between the right and left ventricles.

Journal

JAMAAmerican Medical Association

Published: Jul 2, 1960

There are no references for this article.