Case presentation of a 71-year-old man with a history of myocardial infarction and CABG admitted for a suspected COPD exacerbation.
Alerts clinicians to cardiac-pulmonary overlap in post-CABG patients; leaves open prospective studies on diagnostic accuracy.
Presentation of CaseA 71-year-old man was admitted to the hospital because of a suspected exacerbation of chronic obstructive pulmonary disease.The patient had smoked three packs of cigarettes daily for 20 years and stopped 28 years before entry. Nineteen years before admission he had a myocardial infarct, with subsequent angina pectoris. Two years later a triple coronary-artery-bypass graft procedure was performed, and the patient was free of chest pain thereafter.Four years before admission a diagnosis of chronic obstructive pulmonary disease was made, and the patient's symptoms gradually worsened despite treatment. The results of pulmonary-function tests and blood gas . . .
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Cabot et al. (1992) studied this question.
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