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Pulmonary and Critical Care Pearls |

A 73-Year-Old Man With Chest Pain 4 Days After a Fish Dinner*

Hector M. Medina, MD; Mario J. Garcia, MD; Oscar Velazquez, MD; Nestor Sandoval, MD
Author and Funding Information

*From the Cleveland Clinic Foundation (Drs. Medina and Garcia), Cleveland, OH; and Abood Shaio Clinic (Drs. Velazquez and Sandoval), Bogota, Colombia.

Correspondence to: Hector Medina, MD, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195; e-mail: medinah@ccf.org.



Chest. 2004;126(1):294-297. doi:10.1378/chest.126.1.294
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Extract

A 73-year-old man with a medical history significant for hypertension, smoking, and dyslipidemia presented to the emergency department complaining of chest pain. Symptoms had begun 4 days prior to hospital admission, and consisted of a sharp, substernal pain, starting shortly after a meal, and progressing gradually over the next 72 h. The pain radiated to the patient’s left shoulder and scapula, and was pleuritic. Eventually, the patient experienced dyspnea and near-syncope. The medical history was unremarkable.

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