A man in his 70s presented to the emergency department with 4 days of progressive dizziness, shortness of breath, and chest pain on exertion. He denied any infective symptoms, palpitations, syncopal episodes, or chest pains at rest.
His medical history included type 2 diabetes, hypertension, and hyperlipidemia. He had an uncomplicated open cholecystectomy in 2008. He was an ex-smoker with a 25-pack-year history. He had no significant family medical history. His prescribed medications were metformin MR, 1000 mg twice per day; sitagliptin, 100 mg once per day; gliclazide, 80 mg twice per day; bendroflumethiazide, 2.5 mg once per day; lisinopril, 20 mg once per day; and atorvastatin, 20 mg once per day.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
McGrann P, Jackson M. Diagnosing an Acutely Breathless Patient: Can Electrocardiography Provide the Answer? JAMA Intern Med. Published online December 03, 2018. doi:10.1001/jamainternmed.2018.6485
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: