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November 29, 1919


JAMA. 1919;73(22):1692. doi:10.1001/jama.1919.02610480042013

That thrombosis in the coronary arteries does not invariably cause sudden death has been recently emphasized.1 It is possible that fairly frequently in lesions of this sort, life is prolonged a considerable space or that the establishment of a compensatory circulation is accomplished with a complete or nearly complete return of full heart function. It is undoubtedly true that this condition many times goes without diagnosis, and in the absence of a necropsy the true state of affairs is not recognized.

An interesting and important feature is the intense abdominal pain that may be present. This has an important surgical bearing; as, given a sudden, very severe abdominal pain, with tenderness to palpation, which may even be accentuated over appendix or gallbladder, a laparotomy may be seriously considered and in some instances, probably, logically performed. An interesting question of differential diagnosis is thus raised.

Herrick gives a tentative classification

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