Case 38-1981

Presentation of CaseA 64-year-old man was admitted to the hospital because of pulmonary hypertension.The patient was a former fire chief, who had enjoyed excellent health and an athletic life style until five years earlier, when fatigue and dyspnea on exertion developed gradually, and he discontinued playing singles tennis. At the same time he began to experience occasional bouts of aching pain to the right of the sternum on climbing stairs. Several months later he fainted after fighting a fire. Four years before entry a stress test was begun but was halted because of the occurrence of numerous premature . . .