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March 4, 1944

Current Comment

JAMA. 1944;124(10):650-651. doi:10.1001/jama.1944.02850100040013

CLINICAL RECOGNITION OF CORONARY THROMBOSIS  On the insistence of his professional friends, Dr. James B. Herrick somewhat reluctantly consented to tell of his early experiences with coronary occlusion.1 As early as 1910 he was called to see a man who was seized one hour after a moderately heavy midnight meal with severe pain in the lower precordial region. The patient's mind was clear. There was moderate cyanosis and some dyspnea. The chest was full of fine and coarse moist rales. There was a running feeble pulse of 140. The patient died fourteen hours after the onset of pain. Impressed with reading of the case of Panum, which resembled this case closely, Dr. Herrick told Dr. Hektoen, who was to perform the necropsy, that he would most likely find a "clot in the coronary artery." The postmortem examination revealed a red thrombus completely occluding the coronary artery a short distance

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