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April 1, 1933


JAMA. 1933;100(13):1027. doi:10.1001/jama.1933.27420130003010a

The opportunity of taking an electrocardiogram during an attack of cardiac pain occurs rather rarely in private practice. We were fortunate enough, recently, to have this experience in our office. The patient was a man, aged 48, who had had moderately severe precordial pain for fourteen hours previous to our observation. This pain was practically continuous and radiated to his left arm, as far as the elbow. It was unaccompanied by any other subjective symptoms. As he had been unable to obtain any symptomatic relief and suspecting the possibility of this being an attack of angina, he sought medical advice.

A history was obtained of his having had slight pain on exertion, particularly when walking, for the past three months. Otherwise he had been always well.

The physical examination was entirely negative except for a hypertension, the systolic blood pressure being 190 and the diastolic 100. Whether this was an