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October 22, 1910


JAMA. 1910;55(17):1423-1427. doi:10.1001/jama.1910.04330170001001

Severe substernal pain coming on after exertion, radiating to the left arm, lasting a brief moment, yet compelling the patient to remain immobile from the physical suffering and from a mental anguish that overwhelms him with a sense of imminent death—this picture is looked on by all as that of typical, true, cardiovascular angina, and especially when the arteries are found to be sclerotic and the blood-pressure high. A prognosis is made of sudden death in the near future from a recurrence of the paroxysm, a prediction only too often correct.

So indelibly is this image of the phenomena and course of the affection fixed in the minds of many physicians that they are unable to admit any deviation from its details as consistent with this disease. In this way there have become prevalent several notions concerning angina pectoris that are more or less erroneous, chiefly in that they fail

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