BMJ Case Reports 2013; doi:10.1136/bcr-2012-007633
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Cardio-vocal syndrome

  1. Mehrnoush Asadi Gharabaghi2
  1. 1Department of Pulmonary Medicine, Tehran University of Medical Sciences, Tehran, Iran
  2. 2Department of Pharmacy, Maharashtra Institute of Pharmacy, Pune, Maharashtra, India
  1. Correspondence to Dr Mehrnaz Asadi Gharabaghi, asadi_m{at}
  • Received 1 October 2012
  • Revised 1 October 2012
  • Accepted 6 December 2012
  • Published 2 January 2013


An 80-year-old man presented with a 3-month-history of hoarseness that developed gradually and remained with the same intensity afterwards.

He had neither a history of constitutional symptoms nor cardiorespiratory complaint. He worked as a farmer for 40 years and never smoked. He was taking atenelolol 100 mg daily for hypertension.

He was initially referred to the otolaryngologist. On direct laryngoscopy, the movement of arytenoid cartilage and true vocal cord on the left side was impaired …

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