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May 13, 1939


JAMA. 1939;112(19):1987. doi:10.1001/jama.1939.02800190101028

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To the Editor:—  It may be of interest to your readers to add a note as to the peregrination of the medical curiosity reported in The Journal by Dr. W. B. Porter March 21, 1936, page 992, and by Drs. Whitehead, Burnett and Lagen April 1, 1939, page 1236, as a case of diaphragmatic flutter with symptoms of angina pectoris.The patient was brought to the Massachusetts General Hospital Oct. 27, 1937, by police ambulance with the identical clinical picture as described by the previous writers. He lay doubled up on his right side, moaning in pain and in no respiratory distress, with a pulse of 80 and a blood pressure 130/80. He was not perspiring and his color was good. A rapid flutter could be felt and ausculted over the precordium and abdomen, and could be seen as a ripple over the latter. Fluoroscopy showed a normally beating heart

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