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Chest Pain in a Young Man

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Contemporary Internal Medicine

Part of the book series: Contemporary Internal Medicine ((COIM,volume 1))

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Abstract

A 26-year-old white man first presented for medical evaluation in 1977 because of high blood pressure noted when donating blood. He was completely asymptomatic. There was a family history of hypertension, and his father had died of presumed myocardial infarction at age 37. His physical examination was remarkable for obesity (204 pounds, 5 feet 8 inches tall), hypertension (blood pressure of 170/100 mm Hg), and grade I-II hypertensive retinal changes consisting of arteriolar narrowing and slight arterio-venous nicking. Blood counts, serum chemistry values, urinalysis, chest radiography, and ECG were all normal. For the next eight years, his blood pressure was controlled by a combination of thiazide diuretics and beta blockers.

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Authors
  1. James M. Ryan MD
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Editors and Affiliations

  1. The Ohio State University, Columbus, Ohio, USA

    Juan Bowen M.D.  & Ernest L. Mazzaferri M.D.  & 

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© 1988 Plenum Publishing Corporation

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Ryan, J.M. (1988). Chest Pain in a Young Man. In: Bowen, J., Mazzaferri, E.L. (eds) Contemporary Internal Medicine. Contemporary Internal Medicine, vol 1. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6713-4_7

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  • DOI: https://doi.org/10.1007/978-1-4615-6713-4_7

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4615-6715-8

  • Online ISBN: 978-1-4615-6713-4

  • eBook Packages: Springer Book Archive

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