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Robert A. Shaw, MD; Steven A. Schonfeld, MD; Michael E. Whitcomb, MD

Arch Intern Med. 1981;141(5):651.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The clinical manifestations of pulmonary embolism are extremely varied. It is generally not appreciated that patients with central pulmonary embolism may have chest pain caused by coronary insufficiency. To emphasize this relationship, we describe two patients who were first observed in this manner.

REPORT OF CASES

CASE1.

—A 72-year-old man was admitted to the hospital because of a two-week history of chest pain on exertion. The patient was tachypneic at rest. Otherwise, the physical examination's findings were unremarkable. Serial ECGs and cardiac enzymes did not evolve a pattern of acute myocardial infarction. Because of recurrent chest pain, a cardiac catheterization was done on the fifth hospital day. The coronary arteries were patent but the pulmonary artery pressure was 65/25 mm Hg. Pulmonary angiography demonstrated emboli in the right main pulmonary artery and in the artery to the left upper lobe. The patient was later discharged on a regimen of . . . [Full Text PDF of this Article]

Author Affiliations
From the Pulmonary Disease Division (Dr Shaw) and the Department of Medicine (Drs Schonfeld and Whitcomb), Ohio State University College of Medicine, Columbus, Ohio.

Footnotes
Accepted for publication June 23, 1980.

Reprint requests to Pulmonary Disease Division, Ohio State University Hospitals, N325 Means Hall, 466 W Tenth Ave, Columbus, OH 43210 (Dr Shaw).

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