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Clinical Problem-SolvingFree Preview

Hypertensive Heartbreak

List of authors.
  • Emily S. Lau, M.D.,
  • Benjamin Scirica, M.D., M.P.H.,
  • Inga-Marie Schaefer, M.D.,
  • Amy L. Miller, M.D., Ph.D.,
  • and Joseph Loscalzo, M.D., Ph.D.

A 61-year-old man with chronic knee pain was evaluated for elective total knee arthroplasty. During the preoperative visit, his blood pressure was 178/92 mm Hg. On day 1 after surgery, during physical therapy, his blood pressure increased to 216/99 mm Hg, with a heart rate of 141 beats per minute. The article is accompanied by a video.

Funding and Disclosures

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

Author Affiliations

From Brigham and Womens Hospital, Boston.

Address reprint requests to Dr. Miller at Brigham and Womens Hospital, 75 Francis St., Boston, MA 02115, or at .

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