A 57-Year-Old Man With Insidious Dyspnea and Nonpleuritic Chest and Back Pain

Kenta Nakamura; George A Alba; Jonathan A Scheske; Nandini M Meyersohn; James R Stone; Gus J Vlahakes; Cameron D Wright; Brian B Ghoshhajra; David M Dudzinski

doi:10.1016/j.chest.2016.02.680

A 57-Year-Old Man With Insidious Dyspnea and Nonpleuritic Chest and Back Pain

Chest. 2016 Aug;150(2):e41-7. doi: 10.1016/j.chest.2016.02.680.

Authors

Kenta Nakamura¹, George A Alba², Jonathan A Scheske³, Nandini M Meyersohn³, James R Stone⁴, Gus J Vlahakes⁵, Cameron D Wright⁶, Brian B Ghoshhajra³, David M Dudzinski⁷

Affiliations

¹ Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
² Division of Pulmonary and Critical Care Medicine, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
³ Cardiovascular Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
⁴ Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
⁵ Division of Cardiothoracic Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
⁶ Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
⁷ Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA; Division of Pulmonary and Critical Care Medicine, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA. Electronic address: ddudzinski@mgh.harvard.edu.

PMID: 27502992
DOI: 10.1016/j.chest.2016.02.680

Abstract

A 57-year-old man with a history of DVT and pulmonary embolism, transient ischemic attacks, prior 60 pack-year smoking history, and oxygen-dependent COPD presented with insidiously worsening dyspnea associated with new pleuritic chest and back pain.

Publication types

Case Reports

MeSH terms

Acute Disease
Back Pain / etiology
Bundle-Branch Block / complications
Bundle-Branch Block / diagnosis
Chest Pain / etiology
Chronic Disease
Dyspnea / etiology
Echocardiography
Electrocardiography
Foramen Ovale, Patent / complications*
Foramen Ovale, Patent / diagnostic imaging
Humans
Hypertension, Pulmonary / diagnostic imaging
Hypertension, Pulmonary / etiology*
Lung / diagnostic imaging
Male
Middle Aged
Pulmonary Embolism / complications*
Pulmonary Embolism / diagnostic imaging
Pulmonary Emphysema / complications
Radiography, Thoracic
Tomography, X-Ray Computed