Differential diagnosis of the pain of coronary heart disease.

Abstract

Article1 February 1957DIFFERENTIAL DIAGNOSIS OF THE PAIN OF CORONARY HEART DISEASEA. CARLTON ERNSTENE, M.D., F.A.C.P.A. CARLTON ERNSTENE, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-46-2-247 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe three most common clinical manifestations of coronary heart disease are, in their order of frequency, angina pectoris, acute myocardial infarction and acute coronary failure. Each of these conditions is characterized by pain in the chest due to anoxia of one or more areas of the myocardium. The pain is similar in location in all three, and the syndromes are distinguished from one another chiefly by the length of time the distress persists and by whether the anoxia is of sufficient severity and duration to result in the death of myocardial tissue. Pain in the chest may also be caused...Bibliography1. LaDueNydickWroblewski JSIF: Serum glutamic oxalacetic transaminase as an index of acute heart muscle damage, Circulation 12: 735, 1955. Google Scholar2. ViarHarrison WNTR: Chest pain in association with pulmonary hypertension. Its similarity to the pain of coronary disease, Circulation 5: 1, 1952. CrossrefMedlineGoogle Scholar3. BlumgartSchlesingerDavis HLMJD: Studies on the relation of the clinical manifestations of angina pectoris, coronary thrombosis, and myocardial infarction to the pathologic findings with particular reference to the significance of the collateral circulation, Am. Heart J. 19: 1, 1940. CrossrefGoogle Scholar4. PrinzmetalMassumi MRA: The anterior chest wall syndrome—chest pain resembling pain of cardiac origin, J. A. M. A. 159: 177, 1955. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Cleveland, Ohio*Presented at the Thirty-seventh Annual Session of The American College of Physicians, Los Angeles, California, April 19, 1956.From the Cleveland Clinic and the Frank E. Bunts Educational Institute, Cleveland, Ohio.Requests for reprints should be addressed to A. Carlton Ernstene, M.D., The Cleveland Clinic, 2020 East Ninety-third Street, Cleveland 6, Ohio. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDie Coronarerkrankungen. Coronarinsuffizienz, Angina pectoris und Herzinfarkt 1 February 1957Volume 46, Issue 2Page: 247-254KeywordsAnginaAortaCoronary heart diseaseElectrocardiographyEmphysemaHerniaMyocardiumOsteoarthritisThoraxWalking Issue Published: 1 February 1957 PDF downloadLoading ...