August 23, 1965

Angina May Require Drastic Change in Habits

JAMA. 1965;193(8):33-34. doi:10.1001/jama.1965.03090080071039

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Drastic and immediate changes in the personal and social attitudes and habits of patients with intractable angina pectoris should be urged by the physicians treating them.

This was the advice of Arthur M. Master, MD, and Harry L. Jaffe, MD, of New York's Mount Sinai Hospital, to colleagues at the Annual Convention of the American Medical Association.

"It is our practice to begin treatment of each new patient with a history of intractable angina almost as if he were in a stage of impending infarction," they reported.

Rest at home, avoidance of all business contacts, and small oral doses of such narcotics as codeine, meperidine ( Demerol ) hydromorphone (Dilaudid) until pain subsides have proved effective, the physicians said.

Patients with angina also are aided "if they can achieve a change in their behavior pattern from one of hurried tension to philosophical calm," they stressed. A complete change of occupation may be

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