Highlights that angina pectoris can occur through alternative mechanisms in the absence of significant coronary artery disease.
Angina without obstructive CAD may involve alternative mechanisms; case reports leave open prospective validation before practice change.
Case Reports1 March 1952ANGINA PECTORIS IN THE ABSENCE OF CORONARY DISEASEJAMES LEE WILSON, M.D., SAMUEL A. LEVINE, M.D., F.A.C.P.JAMES LEE WILSON, M.D.Search for more papers by this author, SAMUEL A. LEVINE, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-36-3-897 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe diagnosis of angina pectoris in the overwhelming majority of instances implies significant disease in the coronary arteries. In fact, it is usual to find at least one thrombosis in a coronary artery when cases of classic angina are examined post mortem. This correlation has been very well established by the clinical-pathologic studies of Blumgart and his co-workers, using their improved technic of visualizing the coronary vessels.1, 2However, there is a group of conditions in which anginal pain occurs where other mechanisms are invoked that are regarded as explaining or producing angina. It is sometimes thought that these conditions...Bibliography1. BlumgartZollWessler HLPMS: Angina pectoris, a clinical pathologic study of 177 cases, Tr. A. Am. Physicians 63: 262-267, 1950. MedlineGoogle Scholar2. BlumgartSchlesingerDavis HLMJD: Studies on the relation of the clinical manifestations of angina pectoris, coronary thrombosis and myocardial infarction to the pathologic findings, Am. Heart J. 19: 1-91, 1940. CrossrefGoogle Scholar3. SomervilleLevine WSA: Angina pectoris and thyrotoxicosis, Brit. Heart J. 12: 245-257, 1950. CrossrefMedlineGoogle Scholar4. HerrickNuzum JBFR: Angina pectoris, clinical experience with two hundred cases, J. A. M. A. 70: 67, 1918. CrossrefGoogle Scholar5. Herrick JB: On the combination of angina pectoris and severe anemia, Tr. A. Am. Physicians 42: 23-28, 1927. Google Scholar6. Wolff L: Angina pectoris (or status anginosus) and cardiac asthma induced by paroxysmal auricular fibrillation and paroxysmal tachycardia, New England J. Med. 208: 1194-1199, 1933. CrossrefGoogle Scholar7. ContrattoLevine AWSA: Aortic stenosis with special reference to angina pectoris and syncope, Ann. Int. Med. 10: 1636-1653, 1937. LinkGoogle Scholar8. LevineKauvar SAAJ: The association of angina pectoris or coronary thrombosis with mitral stenosis, J. Mt. Sinai Hosp. 8: 754-764, 1942. Google Scholar9. Blackford LM: Mitral stenosis as a cause of angina pectoris, Am. Heart J. 20: 492, 1940. CrossrefGoogle Scholar10. DuchosalHenny PWG: Angine de poitrine et hyperthyroidisme, Cardiologia 5: 372-387, 1941. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Received for publication June 18, 1951.From the Medical Clinic of the Peter Bent Brigham Hospital and the Department of Medicine, Harvard Medical School, Boston, Massachusetts. These studies were aided in part by a grant from the United States Public Health Service (No. H-445(C2)). PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe treatment of thyrocardiac disease with radioactive iodineTHE TREATMENT OF TOXIC NODULAR GOITER WITH RADIOACTIVE IODINE: 10 YEARS' EXPERIENCE WITH 436 CASES*MILTON ELLER, M.D., SOLOMON SILVER, M.D., F.A.C.P., STEPHEN B. YOHALEM, M.D., F.A.C.P., ROBERT L. SEGAL, M.D.Myokarditis und weitere MyokardiopathienAngeborene Herz- und GefäßmißbildungenDie Coronarerkrankungen. Coronarinsuffizienz, Angina pectoris und Herzinfarkt 1 March 1952Volume 36, Issue 3Page: 897-901KeywordsAnginaCoronary arteriesHospital medicineMedical servicesStable coronary artery diseaseThrombosis ePublished: 1 December 2008 Issue Published: 1 March 1952 PDF downloadLoading ...
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