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- W2090300141 abstract "A 13-YEAR-OLD GIRL was admitted to the hospital because of shortness of breath. She had been well until approximately three months prior to admission when, in Kentucky, she had an episode consisting of acute pallor, chest pain, tachypnea, and syncope. In a local emergency room, the vital signs were reportedly normal, the diagnosis was flu, and she was given oral antibiotics. Gradual improvement was noted over the next several days. While visiting relatives in San Diego, the child was noted to have acute dyspnea and tachypnea, and complained of squeezing precordial chest pain without radiation. The child was rushed to a local emergency room and, subsequently, referred to Children's Hospital. The mother stated that the child had had some decrease in exercise tolerance over the past several years, including mild dyspnea on exertion but no orthopnea or paroxysmal nocturnal dyspnea. There was no history of rheumatic fever or of taking medications. The mother has diabetes mellitus and hepatic cirrhosis. The father died at age 47 with emphysema. A 26-year-old sister has hypertension and asthma. Numerous family members on the father's side died of myocardial infarctions during their fifth decades. On physical examination, she was acutely ill, pale, and tachypneic. Temperature was 37 ~ C, pulse 150, and respirations 76. Blood pressure was 74/26. No rash was noted; she was alert and cooperative but anxious. Extraocular movements were normal. Pupils were equal and reactive to light. Ears were normal and nose was clear. Neck was supple. Lungs were clear to auscultation. The cardiac rhythm was regular. There was a left ventricular" @default.
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- W2090300141 date "1981-01-01" @default.
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- W2090300141 title "Cardiovascular collapse in a teen-age girl" @default.
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- W2090300141 doi "https://doi.org/10.1016/s0022-3476(81)80565-3" @default.
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