0
Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 67-Year-Old Woman With a Remote History of Breast Cancer Who Presents With Dyspnea and Chest Pain

Neeraj R. Desai, MD; Jaime Palomino, MD; Francesco Simeone, MD
Author and Funding Information

Affiliations: From the Department of Pulmonary Diseases, Critical Care and Environmental Medicine, Tulane University Health Sciences Center, New Orleans, LA.

Correspondence to: Neeraj R. Desai, MD, Department of Pulmonary Diseases, Critical Care, and Environmental Medicine, Tulane University Health Sciences Center, 1430 Tulane Ave, SL 9, New Orleans, LA 70112; e-mail: ndesai1@tulane.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;136(4):1160-1163. doi:10.1378/chest.09-0442
Text Size: A A A
Published online

Extract

A 67-year-old woman presented to the ED with progressive dyspnea of 2 weeks duration, which had worsened over the previous day, and was associated with pleuritic chest pain and palpitations. There were no associated fever, chills, cough, hemoptysis, dizziness, syncope, nausea, vomiting, or lower extremity edema. She had been hospitalized recently for the evaluation of dyspnea and was found to have pulmonary hypertension and atrial fibrillation, for which she was receiving therapy with warfarin. Her medical history was significant for adenocarcinoma of the right breast diagnosed in 1997, which was treated with a right mastectomy followed by chemotherapy with tamoxifen and letrozole. The patient had no history of smoking, alcohol abuse, or illicit drug use. Her family history was noncontributory. There was no history of recent travel. Her medications included letrozole, atenolol, spironolactone, warfarin, furosemide, and simvastatin.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

Suggested Readings

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543