Case report of a 71-year-old man presenting with severe chest pain and a history of angina, transient ischemic attacks, and intermittent claudication.
Highlights polyvascular disease in elderly patients with multifocal symptoms; leaves open optimal coordinated management strategies.
Presentation of CaseA 71-year-old right-handed man was admitted to the hospital because of chest pain.Eight years previously a transient left hemiparesis occurred. Thereafter he began to have episodes of substernal pain, predominantly on exertion. Propranolol and isosorbide dinitrate afforded relief, but he still required nitroglycerin two or three times daily. For several years he experienced exertional dyspnea and intermittent claudication. Sixteen months before entry there was a transient right hemiparesis. On the day of admission he was awakened by severe, diffuse pain in the anterior portion of the chest, accompanied by nausea, sweating and dyspnea; the pain subsided . . .
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Cabot et al. (1972) studied this question.
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