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Article
April 12, 1941

PAROXYSMAL FLUTTER OF THE DIAPHRAGM SIMULATING CORONARY OCCLUSION: FURTHER OBSERVATIONS ON AN EXTRAORDINARY CASE CONTROLLED BY REFRIGERATION OF THE PHRENIC NERVE

Author Affiliations

Portland, Ore.
From the Department of Medicine of the University of Oregon Medical School.

JAMA. 1941;116(15):1635-1638. doi:10.1001/jama.1941.62820150001008
Abstract

An extraordinary instance of paroxysmal flutter of the diaphragm with symptoms of angina pectoris was reported in 1936 by Porter1 of Richmond, Va. Recently, Whitehead and Burnett of Denver and Lagen of San Francisco in a joint report2 described interesting experiences with the same patient. The man appears to be a peripatetic transient, now about 60 years of age, who is admitted periodically to hospitals in various parts of the country seeking relief from attacks of acute precordial pain which are associated with and probably due to a remarkably rapid rhythmic fluttering movement of the diaphragm. It has been difficult to obtain a reliable medical history. The man is a pathologic liar and has greeted each of his medical examiners in recent years with fantastic life stories which agree only in their incredibility. He has been traced to a number of hospitals in different states under different names

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