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April 22, 1933

L'angine de poitrine: Formes cliniques, traitement médical et chirurgical.

Author Affiliations

Par Camille Lian, professeur agrégé à la Faculté de médecine de Paris. Avec la collaboration de MM. A. Blondel, G. Huret, M. Marchal, assistants à l'Hôpital Tenon, et H. Welti, chirurgien des hôpitaux. Paper. Price, 55 francs. Pp. 429, with 32 illustrations. Paris: Masson & Cie, 1932.

JAMA. 1933;100(16):1281-1282. doi:10.1001/jama.1933.02740160065037

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Lian starts out with a statement that angina pectoris is not a disease but a syndrome. It is a symptom complex based on a clinical picture and not on anatomic changes. The volume is largely given over to a defense of this thesis. It is robbed, therefore, of much value as a judicial consideration of facts because the author is always in the attitude of a special pleader. He admits that a large majority of cases of angina pectoris have as a basis an anatomic obstructive lesion in the coronary artery. Yet because of a resemblance in symptoms he puts into the same group not only the classic cases of angina of effort and acute coronary thrombotic occlusion but such diverse conditions as some cases of rheumatic endocarditis, paroxysmal tachycardia, gallstones and left-sided thoracobrachial neuralgia, together with so-called neurotic pseudo-angina, tobacco angina, and so on. Acute coronary thrombosis is classed

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