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Pulmonary and Critical Care Pearls |

Orthopnea in a 75-Year-Old Man After Cardiac Catheterization*

Deepa Lala, MD; Anne E. Dixon, MD
Author and Funding Information

*From the Division of Pulmonary and Critical Care, Department of Medicine, University of Vermont College of Medicine, Fletcher Allen Health Care, Burlington, VT.

Correspondence to: Anne E. Dixon, MD, Division of Pulmonary and Critical Care Medicine, Patrick 311, Fletcher Allen Health Care, 111 Colchester Ave, Burlington, VT 05401; e-mail: Anne.Dixon@vtmednet.org



Chest. 2005;127(4):1442-1445. doi:10.1378/chest.127.4.1442
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Extract

A 75-year-old man was evaluated in consultation for dyspnea. He was admitted to the hospital 1 day earlier with chest pain and progressive dyspnea over 12 months, which was mild with exertion but worse when he lay flat. He noted increasing daytime fatigue over the same time period. He had been able to work until recently as a building maintenance man. After hospital admission, he underwent cardiac catheterization, which showed no evidence of coronary artery disease. A sudden worsening of dyspnea developed, however, while he was lying supine at the end of the procedure.

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