Case 77-1963

Presentation of CaseA twenty-nine-year-old university instructor entered the hospital because of chest pain.Twenty months previously the patient consulted a physician because a heart murmur had been heard on a life insurance examination. No murmur had been reported on previous examinations for insurance or for Selective Service. He stated that his health had always been excellent, and there was no history of rheumatic fever, chorea, frequent epistaxis, growing pains, syphilis, cyanosis, edema, dyspnea, orthopnea or chest pain. His child had died at the age of three years as a result of a progressive muscular disorder. Physical examination revealed a . . .