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November 9, 1935

TRANSIENT HEART BLOCK IN A DIABETIC PATIENT DURING AN ACUTE CORONARY THROMBOSIS

Author Affiliations

Portland, Maine

JAMA. 1935;105(19):1518-1519. doi:10.1001/jama.1935.92760450001008
Abstract

A woman, aged 56, admitted to my clinic, Dec. 31, 1930, complained chiefly of precordial pain on exertion. The past history was unimportant except for obesity of twenty years' duration. The present illness began in February 1930, at which time she noticed a gradual loss of weight and strength. A few weeks later she was conscious of substernal discomfort when walking upgrade and in May consulted a physician, who made a diagnosis of diabetes mellitus and angina pectoris. A diet was prescribed, and restriction of both physical and mental activities was advised. Although the patient refrained from walking outdoors and reduced her social activities to a minimum, the anginal pain became more troublesome. The urine always contained sugar in spite of strict adherence to the diet. The use of insulin had been discouraged because it was feared that it might aggravate the anginal pain.

On admission to the hospital the patient was

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