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March 21, 1931


JAMA. 1931;96(12):925-928. doi:10.1001/jama.1931.02720380013004

When 122 cases of angina pectoris1 complicating diabetes were analyzed in 1927,2 but few other cases for comparison could be found even in such summaries as those of Kahn,3 Levine,4 or White.5 Since 1927, the association of diabetes and angina has become still more prominent not only in the diabetic clinic at the New England Deaconess Hospital but also among our cases after discharge, so that we are now able to report 210 such cases. Certain features of angina in diabetic patients are sufficiently distinctive to suggest that diabetes may bear an important etiologic relationship to coronary disease and angina.

SELECTION OF CASES  Every patient in this series had paroxysmal attacks of pain or a sense of constriction of the chest. The pain, pressure or sense of constriction was localized in the precordial region or more commonly beneath the sternum with or without radiation to