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To the Editor:—
Study of the article "Myocardial Infarction During Pregnancy" by Naden, Johnson, and Murray (JAMA178:659-661 [Nov. 11] 1961) does not convince me that the patient had acute myocardial infarction. In fact, the only indication of myocardial infarction was the unsupported statement of the authors that "an electrocardiogram... showed changes consistent with subendocardial anterior myocardial infarction."The diagnosis appears to have been based on the above (no electrocardiogram was printed) and half a dozen attacks of a "burning pressure sensation across the front of the chest... the longest lasting 10 minutes."Blood pressure was normal, as were temperature and serum transaminase findings.I would like to state that the above is not enough evidence for acute myocardial infarction in a pregnant female aged 39; and certainly not enough to justify subjecting her to the trouble, expense, and risk of 17 days of anticoagulant medication.
Friedenson M. Myocardial Infarction During Pregnancy. JAMA. 1962;179(8):667. doi:10.1001/jama.1962.03050080079022
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