CASE AND ANALYSIS BY INGRID LLOVERA, MD, MPH, ZHANNA ROIT, MD, ANDREW SAMA, MD, AND ARMIN PERHAM POORDABBAGH, MD

All articles by CASE AND ANALYSIS BY INGRID LLOVERA, MD, MPH, ZHANNA ROIT, MD, ANDREW SAMA, MD, AND ARMIN PERHAM POORDABBAGH, MD

A puzzling group of cardiac symptoms in an older male patient

The catheterization lab held the key to diagnosis in a patient who noted only mild neck discomfort. Joe, age 67, presented to the emergency department (ED) after a near-syncopal episode that came on while he was eating dinner. He reported nausea, diaphoresis, light-headedness, and generalized weakness. In addition, he noted palpitations and mild left-sided neck…

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