A clinical case discussing the differential diagnosis of a 53-year-old man presenting with shortness of breath and chest pressure.
Single case does not change practice for dyspnea evaluation; leaves open questions on optimal diagnostic algorithms.
A 53-year-old painter and construction worker presented to the emergency room with shortness of breath, chest pressure, palpitations, and nocturnal cough. The patient had a four-year history of hypertension and hypercholesterolemia and did not smoke.Here is a man with risk factors for coronary disease who presents with shortness of breath and chest pressure. At the top of the differential diagnosis is coronary artery disease. Other cardiac disease, particularly aortic valve disease, could produce the same symptoms. Also, patients with pericarditis may occasionally describe pressure-like pain, and they may sense dyspnea because of the disinclination to take a . . .
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George E. Thibault (1993) studied this question.
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