Eleven years ago I presented1 a paper to the California Academy of Medicine entitled "Cases of Angina Sine Dolore, Due to Disease of the Right Ventricle." The matter gave rise to some discussion at the time but dropped out of sight until within the last few months when Dr. Jellinek and Dr. Cooper advanced the same idea without being aware of the existence of my earlier contribution. It is possible that further investigation may be encouraged by a report of some of the cases that suggested such a hypothesis, together with conclusions reached from personal observation.
Confusion may be avoided by making the preliminary statement that while all the cases mentioned in this paper are examples of angina sine dolore associated with disease of the right ventricle I must not be understood as asserting that the painless variety is the only form of angina associated with disease of the
KERR WW. PAINLESS AND PAINFUL ANGINA PECTORIS. JAMA. 1909;LII(22):1744–1746. doi:10.1001/jama.1909.25420480014002a
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