ROBERT W. DUBOIS, M.D.
To the editor: The association between coronary artery disease and left arm pain is well documented. I recently treated a patient who presented with a new feature: left arm paresis.
A 42-year-old white man with no history of angina had a subendocardial myocardial infarction. During that infarction he had severe but temporary (48-h) left arm weakness. He was transferred to our hospital for cardiac catheterization, which showed extensive coronary artery involvement (70% right coronary, 50% left anterior descending, 50% left circumflex, and 95% first obtuse marginal coronary artery).
The patient felt well on a regimen of nitrates and beta-blockers, until
DUBOIS RW. Myocardial Infarction and Paresis of the Left Arm. Ann Intern Med. 1984;100:768. doi: 10.7326/0003-4819-100-5-768_1
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Published: Ann Intern Med. 1984;100(5):768.
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