ALBERT A. FISK, M.D.
Elevated blood ammonia levels have been found to be an important aspect of primary liver diseases, both acute and chronic, and the recognition of coma and precoma states due to ammonium ion intoxication has become an important part of the clinical management of patients with such liver diseases. However, elevations of the blood ammonia and secondary neurologic symptoms from such elevations have not commonly been found in patients with congestive heart failure. The following case report concerns a 51-year-old truck driver with chronic constrictive pericarditis who had markedly elevated blood ammonia levels with secondary neurologic signs and symptoms. The elevated
FISK AA. MARKEDLY ELEVATED BLOOD AMMONIA IN A PATIENT WITH CONSTRICTIVE PERICARDITIS1. Ann Intern Med. ;54:799–805. doi: 10.7326/0003-4819-54-4-799
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Published: Ann Intern Med. 1961;54(4):799-805.
Cardiology, Pericardial Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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