Key result
Prompt diagnosis enables recovery in coronary thrombosis complicated by complete heart block.
Why the study?
The diagnosis of coronary thrombosis can be challenging and requires awareness of its clinical syndrome for prompt identification.
Case Report (n=2)
May aid bedside recognition of coronary thrombosis; leaves open validation against modern biomarkers and imaging.
The diagnosis of coronary thrombosis should not be difficult if the condition is kept in mind. The history of angina, the presence of shock, the gradual diminution in the strength of the heart sounds, the presence of arrhythmia, the signs of congestion at the bases of the lungs, an elevation in the number of leukocytes and a low blood pressure form a well defined clinical syndrome. In America, Herrick,1Smith2and Levine3have made important contributions to the study of coronary thrombosis, and it is a tribute to their work that a senior medical student can make the diagnosis at the bedside. We are reporting two cases of coronary thrombosis. Both patients recovered, one in spite of complete heart block, a superimposed insult which is generally regarded of more than grave prognosis. We therefore feel justified in stressing the point that prompt diagnosis is of more than
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BELL et al. (1930) conducted a case report in Coronary thrombosis (n=2). Two patients with coronary thrombosis recovered, including one with complete heart block, highlighting the importance of prompt diagnosis.
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