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June 25, 1982

What's in a Name? That Depends...

JAMA. 1982;247(24):3314. doi:10.1001/jama.1982.03320490018021

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To the Editor.—  Because I suffer from chronic nitpickophilia with frequent acute exacerbations, I am impelled to call attention to a misnomer for a tragic situation. The "café coronary," so thoughtfully and lucidly presented and discussed by Mittleman and Wetli (1982;247:1285), occurs, as their data indicate, most often in a locale other than a public eating place (café). Indeed, more of these catastrophes take place in the home than in any other site.Accordingly, I believe that a more appropriate (and accurate) group appellation for this occurrence is a "culinary coronary." This entity can then be broken down into "kitchen coronary," "café coronary," and "cafeteria coronary," depending on the precise location of the incident. These three phrases retain the built-in benefit of "apt alliteration's artful aid," although admittedly this is true only phonetically of the "kitchen" variety.