SILENT OR ATYPICAL CORONARY OCCLUSION

Abstract

Article1 July 1941SILENT OR ATYPICAL CORONARY OCCLUSIONWILLIAM D. STROUD, M.D., F.A.C.P., JOSEPH A. WAGNER, M.D.WILLIAM D. STROUD, M.D., F.A.C.P.Search for more papers by this author, JOSEPH A. WAGNER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-15-1-25 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptRecent papers by Blumgart, et al.1, 2wherein careful correlation between clinical records and exacting pathological studies were carried out, have again drawn our attention to the extensive potential collateral circulation that exists in the myocardium and secondly to the fact that, "coronary occlusion, per se, does not necessarily produce any characteristic clinical manifestations." "If an occlusion occurs gradually, with concomitant development of an anastomotic circulation, no symptoms or signs will be produced and no myocardial lesions will be demonstrable. Then what we speak of as 'coronary occlusion' which consists of substernal pain and oppression, a fall in blood pressure,...Bibliography1. BLUMGARTSCHLESINGERDAVIS HLMJD: Studies on the relation of the clinical manifestations of angina pectoris, coronary thrombosis and myocardial infarction to the pathologic findings, Am. Heart Jr., 1940, xix, 1. CrossrefGoogle Scholar2. BLUMGARTSCHLESINGERZOLL HLMJPM: Angina pectoris, coronary failure and acute myocardial infarction, Jr. Am. Med. Assoc., 1941, cxvi, 91. CrossrefGoogle Scholar3. SMITH FM: Coronary artery disease, The diagnosis and treatment of cardiovascular disease, 1940, F. A. Davis Co., Philadelphia, p. 387. Google Scholar4. LEVY RL: The diagnosis of coronary insufficiency, The diagnosis and treatment of cardiovascular disease, 1940, F. A. Davis Co., Philadelphia, p. 431. Google Scholar5. WHITE PD: Heart disease, 1932, Macmillan Co., New York, p. 418. Google Scholar6. EASTBAINCARY CFCWFL: Cardiac infarction without pain, Lancet, 1928, ii, 60. CrossrefGoogle Scholar7. BOYDWERBLOW LJS: Coronary thrombosis without pain, Am. Jr. Med. Sci., 1937, clxxxxiv, 814. CrossrefGoogle Scholar8. WEDD AM: Painless coronary occlusion, New York State Jr. Med., 1928, xxviii, 1091. Google Scholar9. WIGSER AM: Silent coronary thrombosis with complete heart block and recovery, Jr. Med., 1938, xviii, 364. Google Scholar10. MORAWITZHOCHREIN PM: Zur Diagnose und Behandlung der Koronarsklerose, München. med. Wchnschr., 1928, lxxv, 17. Google Scholar11. WILLIUSBROWN FAOE: Coronary sclerosis; an analysis of 86 necropsies, Am. Jr. Med. Sci., 1924, clxviii, 165. CrossrefGoogle Scholar12. NATHANSON MH: Disease of coronary arteries; clinical and pathological features, Am. Jr. Med. Sci., 1925, clxx, 240. CrossrefGoogle Scholar13. POLLARDHARVILL HMTH: Painless myocardial infarction, Am. Jr. Med. Sci., 1940, clxxxxix, 628. CrossrefGoogle Scholar14. KENNEDY JA: The incidence of myocardial infarction without pain in 200 autopsied cases, Am. Heart Jr., 1937, xiv, 703. CrossrefGoogle Scholar15. GORHAMMARTIN LWSJ: Coronary occlusion with and without pain, Arch. Int. Med., 1938, lxii, 821. CrossrefGoogle Scholar16. LIBMAN E: Observations on individual sensitiveness to pain, Jr. Am. Med. Assoc., 1934, cii, 335. CrossrefGoogle Scholar17. MARTINGORHAM SJLW: Cardiac pain, Arch. Int. Med., 1938, lxii, 840. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, Pennsylvania*Read at the Boston meeting of the American College of Physicians, April 22, 1941.This work has been done through the Robinette Foundation of the University of Pennsylvania and the M. W. Stroud, Jr. Fellowship in Cardiology of the Pennsylvania Hospital. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByOccult myocardial infarctionPre-operative assessment of the patient with cardiac diseaseSilent Myocardial Ischemia and Infarction: Insights from the Framingham StudyIncidence and Prognosis of Unrecognized Myocardial InfarctionIncidence and Prognosis of Unrecognized Myocardial Infarction: Based on 26 Years Follow-up in the Framingham StudySymptomatic myocardial infarction without chest pain: Prevalence and clinical courseDefinition und Häufigkeit des „stummen“ MyokardinfarktesRECOGNITION OF ACUTE MYOCARDIAL INFARCTION IN THE DETERIORATED ELDERLY PSYCHOTIC PATIENTDie Coronarerkrankungen. Coronarinsuffizienz, Angina pectoris und HerzinfarktTHE "SILENT CORONARY": THE FREQUENCY AND CLINICAL CHARACTERISTICS OF UNRECOGNIZED MYOCARDIAL INFARCTION IN THE FRAMINGHAM STUDY*JOSEPH STOKES III, M.D., THOMAS R. DAWBER, M.D., F.A.C.P.A CLINICO-PATHOLOGICAL STUDY OF CORONARY DISEASEPAINLESS MYOCARDIAL INFARCTION: A REVIEW OF THE LITERATURE AND ANALYSIS OF 220 CASES*MELVIN D. ROSEMAN, M.D.Coronary artery disease in men eighteen to thirtynine years of ageMyocardial infarction indicated by angina pectoris of effort or by brief attacks of angina of rest, with remarks on premonitory pain 1 July 1941Volume 15, Issue 1Page: 25-32KeywordsBlood pressureFallsFellowshipsLesionsMyocardiumSigns and symptoms Issue Published: 1 July 1941 PDF DownloadLoading ...