An ECG hinted at an event that had never actually occurred. A 73-year-old man with
history of non-small cell lung carcinoma was admitted with cough, fever, and shortness
of breath. He had smoked 20-40 cigarettes a day for more than 40 years but had no
chest pain or any previous history of angina, coronary artery disease, hypertension,
diabetes mellitus, or hyperlipidemia. About 7 months prior to our evaluation, the
patient was hospitalized at an outside facility for shortness of breath and tachycardia.
He was briefly treated with anticoagulants but was not discharged on antiarrhythmic
medications. Approximately 6 months after this episode, the patient saw his primary
care physician for profound weight loss. A chest x-ray revealed a lung mass, and subsequently
he was referred to our institution for further evaluation.
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Article info
Footnotes
Julia H. Indik, MD, PhD, Section Editor
Identification
Copyright
© 2007 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
