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January 6, 1962

Implications of the Mild Coronary

Author Affiliations

929 Park Ave., New York City 28

JAMA. 1962;179(1):98. doi:10.1001/jama.1962.03050010100021

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To the Editor:—  In the article, The Fate of the Mild Coronary (JAMA177:579 [Aug. 26] 1961), Dr. Likoff poses the practical question: What does the term, mild coronary, imply? Unfortunately, when the attending physician makes such a diagnosis he is apt to minimize the seriousness of a myocardial infarction and permit too many liberties, including a very short period of bed rest. Clinically, we know that the severe chest pain in the average case will subside within 24 hours. I suppose that compared with those cases which on admission are either in shock, in failure, or have various types of arrhythmias that are severe at the onset, the other cases are relatively mild by comparison. The attending physician may indulge in wishful thinking and minimize the seriousness of the underlying pathology. When the patient suddenly becomes seriously ill, everybody seems surprised, including the family, who usually have been

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